To evaluate the efficacy of ventriculoscope and continued lumbar cerebrospinal fluid drainage in the treatment of severe primary intraventricular hematoma.

Sixty-two patients with severe primary intraventricular hematoma patients in Luohe Central Hospital from July 2007 to November 2015 were retrospectively analyzed and divided into group A(n=27, before May 2010)and group B (n=35, after May 2010) according to the time sequence. Twenty-seven patients in group A were treated with ventriculopuncture and intermittent lumbar puncture. Thirty-five patients in group B were treated with ventriculoscope and continued lumbar cerebrospinal fluid drainage. Hematoma evacuation rate 48 hours after operation and ADL grades 6 months after operation were compared.

(1)Hematoma evacuation rate >90% were found in 1 cases in group A 48 hours after operation, and hematoma evacuation rate 60%-90% were found in 9 cases, hematoma evacuation rate<60% were found in 17 cases; Hematoma evacuation rate >90% were found in 15 cases in group A 48 hours after operation, and hematoma evacuation rate 60%-90% were found in 18 cases, hematoma evacuation rate <60% were found in 2 cases, the differences were statistically significant(P<0.01). (2)6 months after operation, in group A, 5 cases of ADL grade Ⅰ, 8 cases of ADL grade Ⅱ, 6 cases of ADL grade Ⅲ, 6 cases of ADL grade Ⅳ, 2 case of ADL grade Ⅴ, good recovery rate was 70.37%; In group B, 16 cases of ADL grade Ⅰ, 10 cases of ADL grade Ⅱ, 5 cases of ADL grade Ⅲ, 3 cases of ADL grade Ⅳ, 1 case of ADL grade Ⅴ, good recovery rate was 88.57%, the difference was statistically significant (P<0.01).

Ventriculoscope and continued lumbar cerebrospinal fluid drainage for severe primary intraventricular hematoma is a better surgical treatment because of its effective hematoma evacuation and excellent postoperative outcome.