Abstract:
BACKGROUND:In recent years, neuroendoscopy has been used as a method for treating intracerebral hemorrhages (ICHs). However, the efficacy and safety of neuroendoscopic surgery is still controversial compared with that of craniotomy. Our aim was to compare the outcomes of neuroendoscopic surgery and craniotomy in patients with supratentorial hypertensive ICH using a meta-analysis. METHODS:We searched on PubMed, EMBASE, and Cochrane Central Register of Controlled Trials to identify relevant studies in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Quality of eligible studies was evaluated and the related data were extracted by 2 reviewers independently. This study assessed clinical outcomes, evacuation rates, complications, operation time, and hospital stay for patients who underwent neuroendoscopic surgery (NE group) or craniotomy (craniotomy group). RESULTS:Meta-analysis included 1327 subjects from verified studies of acceptable quality. There was no significant heterogeneity between the included studies based on clinical outcomes. Compared with craniotomy, neuroendoscopic surgery significantly improved clinical outcomes in both randomized controlled studies (RCTs) group (relative risk: 0.62; 95% confidence interval [CI], 0.47-0.81, P < .001) and non-RCTs group (relative risk: 0.84; 95% CI: 0.75-0.95, P = .005); decreased the rate of death (relative risk: 0.53; 95% CI, 0.37-0.76, P < .001) in non-RCTs group but not in RCTs group (relative risk: 0.58; 95% CI, 0.26-1.29, P = .18); increased evacuation rates in non-RCTs group (standard mean differences: 0.75; 95% CI, 0.24-1.26, P = .004) and had a tendency of higher evacuation rates in RCTs group (standard mean differences: 1.34; 95% CI, 0.01-2.68, P = .05); reduced the total risk of complications in non-RCTs group (relative risk: 0.45; 95% CI, 0.25-0.83, P = .01) and RCTs group (relative risk: 0.37; 95% CI, 0.28-0.49, P < .001); reduced the operation time in non-RCTs group (standard mean differences: 3.26; 95% CI: 1.20-5.33, P < .001) and RCTs group (standard mean differences: 4.37; 95% CI: 3.32-5.41, P < .001). CONCLUSIONS:Our results suggested that the NE group showed better clinical outcomes than the craniotomy group for patients with supratentorial hypertensive ICH. Moreover, the patients who underwent neuroendoscopy had a higher evacuation rate, lower risk of complications, and shorter operation time compared with those that underwent a craniotomy.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Ye Z,Ai X,Hu X,Fang F,You Cdoi
10.1097/MD.0000000000007876subject
Has Abstractpub_date
2017-09-01 00:00:00pages
e7876issue
35eissn
0025-7974issn
1536-5964pii
00005792-201709010-00024journal_volume
96pub_type
杂志文章,meta分析相关文献
MEDICINE文献大全abstract::Purulent pericarditis, a localized infection within the pericardial space, has become a rare entity in the modern antibiotic era. Although historically a disease of children and young adults, this is no longer the case: the median age at the time of diagnosis has increased by nearly 30 years over the past 6 decades. D...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0b013e318194432b
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Osteopathic medicine is an emerging and complementary method used in neonatology. METHODS:Outcomes were the mean difference in length of stay (LOS) and costs between osteopathy and alternative treatment group. A comprehensive literature search of (quasi)- randomized controlled trials (RCTs), was conducted f...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000006408
更新日期:2017-03-01 00:00:00
abstract::Meckel diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract in children. The aim of this study was to review and analyze clinical data on the diagnosis and management of Meckel diverticulum in pediatric patients. The records of 102 pediatric patients (<14 years old) who underwent sur...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007760
更新日期:2017-08-01 00:00:00
abstract::Few attention has been directed to the potential effects of intermittent hypoxia experienced in obstructive sleep apnea on the integrity and permeability of intestinal barrier, particularly in adults. Therefore, we evaluated alteration in serum d-lactate concentration in middle-aged males with obstructive sleep apnea ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009144
更新日期:2017-12-01 00:00:00
abstract::Congenital heart disease (CHD) is the most commonly diagnosed congenital disorder in newborns. The incidence and mortality of CHD vary worldwide. A detailed understanding of the global, regional, and national distribution of CHD is critical for CHD prevention.We collected the incidence and mortality data of CHD from t...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020593
更新日期:2020-06-05 00:00:00
abstract::Ordinal-scale strength assessment methods currently used in Paralympic athletics classification prevent the development of evidence-based classification systems. This study evaluated a battery of 7, ratio-scale, isometric tests with the aim of facilitating the development of evidence-based methods of classification. T...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000031
更新日期:2014-06-01 00:00:00
abstract::To study the changes in 3 mutations related with hepatitis B e antigen (HBeAg) in patients with HBeAg-positive chronic hepatitis B (CHB) during interferon therapy.HBeAg seroconversion is a major therapeutic milestone for patients with HBeAg-positive CHB. The precore mutation G1896A and the basal core promoter mutation...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002657
更新日期:2016-02-01 00:00:00
abstract::To explore the safety and efficacy of the selective 5-serotonin and norepinephrine reuptake inhibitor duloxetine hydrochloride and alpha-adrenergic receptor blocker (alpha-blocker) doxazosin mesylate-controlled tablets in the treatment of pain disorder in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).In a...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000006243
更新日期:2017-03-01 00:00:00
abstract::Bacillus Calmette-Guérin (BCG) is the most effective intravesical immunotherapy for superficial bladder cancer. Although generally well tolerated, BCG-related infectious complications may occur following instillation. Much of the current knowledge about this complication comes from single case reports, with heterogene...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000000119
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Exhaled nitric oxide (eNO) has been proposed as a noninvasive measure of airway inflammation. However, its value in patients with obstructive sleep apnea (OSA) is still controversial. The authors aim to assess the difference in eNO levels between patients with OSA and controls by a meta-analysis. METHODS:A ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000006429
更新日期:2017-03-01 00:00:00
abstract::Several risk factors for pancreatic fistula had been widely reported, but there was no research focusing on the exocrine output of remnant gland.During the study period of January 2015 to September 2016, 82 patients accepted pancreaticoduodenectomy (PD, end-to-end dunking pancreaticojejunostomy with internal stent tub...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008451
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:Infertile men with Y-chromosome microdeletions have been reported to be able to have their own children via intracytoplasmic sperm injection (ICSI). PATIENT CONCERNS:A 27-year-old man with Y-chromosome azoospermia factor c (AZFc) deletions underwent ICSI treatment. The pregnancy showed a high risk for trisom...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000016358
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Pancreatic cancer (PC) remains difficult to treat, despite the recent advances in various anticancer therapies. Immuno-inflammatory response is considered to be a major risk factor for the development of PC in addition to a combination of genetic background and environmental factors. Although patients with P...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000005541
更新日期:2016-12-01 00:00:00
abstract:RATIONALE:Vascular complications of transradial percutaneous coronary intervention (PCI) are rare and usually occur at the access site below the elbow. However, vessels along the tract of the wire or catheter can be injured at any point, causing various types of bleeding complications. PATIENT CONCERNS:A 57-year-old m...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021205
更新日期:2020-07-10 00:00:00
abstract:INTRODUCTION:Hypertrophic scars are a common disease in plastic surgery, which is the reaction of skin connective tissue to trauma beyond the normal range. Although scholars around the world have explored the tissue structure and formation mechanism of HS for decades, they are not satisfactory the result of. No effecti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020790
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:To investigate the efficacy and advantage of combining situ-morcellation with continuous-fill-mattress suture compared with conventional morcellation and suture in laparoscopic myomectomy. METHODS:One hundred sixteen patients who underwent laparoscopic myomectomy from March 2014 to October 2016. INTERVENTI...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007672
更新日期:2017-08-01 00:00:00
abstract::In a review of endocarditis caused by fastidious, slow-growing gram-negative rods, similarities in the spectrum of disease overshadow differences among cases grouped by specific organisms. Cardiobacterium hominis, Actinobacillus actinomycetemcomitans and Haemophilus species usually seed previously damaged cardiac valv...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-197903000-00003
更新日期:1979-03-01 00:00:00
abstract:BACKGROUND:Dexmedetomidine showed some potential in pain control in patients undergoing knee arthroscopy. We conducted a systematic review and meta-analysis to explore the efficacy of dexmedetomidine in patients undergoing knee arthroscopy. METHODS:We searched the randomized controlled trials (RCTs) assessing the effe...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000007938
更新日期:2017-10-01 00:00:00
abstract::In 2006, a previous study at our institution reported high perioperative and anesthesia-related mortality rates of 21.97 and 1.12 per 10,000 anesthetics, respectively. Since then, changes in surgical practices may have decreased these rates. However, the actual perioperative and anesthesia-related mortality rates in B...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002208
更新日期:2016-01-01 00:00:00
abstract:RATIONALE:Coronary perforation leading to fistula directed to the right ventricle is a rare complication of percutaneous coronary intervention (PCI). The reported outcomes vary from a stable state to rapid deterioration. PATIENT CONCERNS:An 86-year-old man was diagnosed with non-ST elevation myocardial infarction, and...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014068
更新日期:2019-01-01 00:00:00
abstract::Heart rate variability (HRV) is an objective measure of emotional regulation. This study aimed to estimate the accuracy with which an artificial neural network (ANN) algorithm could classify emotions using HRV data that were obtained using wristband heart rate monitors.Four emotions were evoked during gameplay: pleasu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016863
更新日期:2019-08-01 00:00:00
abstract::To compare the clinical outcome of digital and manual marking for toric intraocular lens (IOL) alignment. This is a prospective clinical study that included 60 eyes of 60 patients undergoing cataract surgery with coexisting corneal astigmatism more than 1 diopter (D). The eyes were randomly assigned to either digital ...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000001618
更新日期:2015-09-01 00:00:00
abstract::Drug-induced anaphylaxis (DIA) is a highly paradoxical disorder involving a fatal response to medicines prescribed for therapeutic purposes. This study aimed to improve the awareness on DIA and to prevent errors through an analysis of lawsuit judgments.Sentenced judgments involving DIA from 1998 to 2017 using the data...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015996
更新日期:2019-06-01 00:00:00
abstract::Differences in the mechanism of action and potential pleiotropic effects between statins and fibrates would potentially drive a different effect on various laboratory parameters, but this remains controversial because of a paucity of reports comparing them. Therefore, the aim of this study was to compare the effects o...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023427
更新日期:2020-12-11 00:00:00
abstract::The present study aimed to assess the effect of removing an indwelling urinary catheter at different times on urinary retention and urinary infection in patients undergoing gynecologic surgery.Electronic databases including PubMed, EMbase, the Cochrane Central Register of Controlled Trials, and Ovid from inception to ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018710
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:This study is a prospective, assessor-blinded, parallel-group, randomized controlled pilot trial to explore the effectiveness of 12-week adjuvant moxibustion therapy for arthralgia in menopausal females at stage I to III breast cancer on aromatase inhibitor (AI) administration, compared with those receivin...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000017260
更新日期:2019-09-01 00:00:00
abstract::To compare imaging indicators and clinical effects of extreme lateral interbody fusion (XLIF) using allogenic bone, autologous bone marrow + allogenic bone, and rhBMP-2 + allogenic bone as bone graft materials in the treatment of degenerative lumbar diseases.This was a retrospective study of 93 patients with lumbar in...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017685
更新日期:2019-11-01 00:00:00
abstract::Signet ring cell carcinoma (SRC) is a poorly differentiated cancer of the stomach. Generally, poorly differentiated cancer is believed to show poor prognosis and aggressive behavior. Recently, however, there is debate on the aggressiveness of SRC in early gastric cancer (EGC). We therefore studied postoperation biopsi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007532
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Kangfuxin (KFX), a well-known Chinese patent medicine which extracted from Periplaneta americana, is widely used as an adjuvant in the treatment of peptic ulcers (PUs) with proton pump inhibitors (PPIs) such as rabeprazole, in China. However, no clear consensus has been reached on the efficacy for PU treatme...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000023103
更新日期:2020-11-25 00:00:00
abstract::A retrospective study of consecutive patients.The purpose of this study was to compare the clinical effect of biomimetic mineralized collagen (MC) modified polymethylmethacrylate (PMMA) bone cement and traditional PMMA bone cement for the treatment of osteoporotic vertebral compression fractures (OVCF).New fracture on...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012204
更新日期:2018-09-01 00:00:00