导航下神经内镜与显微手术治疗基底节脑出血的对比研究

目的 探讨导航下神经内镜与显微手术治疗基底节脑出血的疗效及安全性.方法 将60例高血压基底节脑出血患者分为导航内镜组(n=32)和显微手术组(n=28),比较两组患者的临床资料.结果 导航内镜组手术时间(112.1±14.5)min,术中中位失血量100.0(92.5,140.0)mL,血肿清除率(93.6±3.7)％...

Comparative study of neuroendoscopy under navigation and microsurgery for basal ganglia cerebral hemorrhage

Objective To explore the efficacy and safety of neuroendoscopy under navigation and microsurgery for basal ganglia cerebral hemorrhage.Methods 60 patients with hypertensive intracerebral hemorrhage in basal ganglia were divided into the group of neuroendoscopy under navigation (n = 32) and microsurgery group (n = 28), the clinical data of the two groups were compared.Results The operation time was (112.1 ± 14.5) min, the median intraoperative blood loss was 100.0 (92.5, 140.0) mL, the clearance rate of hematoma was (93.6 ± 3.7)%, the median 24 h GCS after operation was 9.0 (8.0, 12.0), which was significantly higher than that before operation (Z = -3.50, P = 0.000), the volume of edema around the hematoma was (14.9 ± 5.2) mL, and there was no re-bleeding after operation, the median time of ICU stay was 0.0 (0.0, 0.0) d, the ICU admission rate was 15.6%, the hospital stay was (12.4 ± 2.5) d, the tracheotomy rate was 6.3%, the pulmonary infection rate was 9.4%, and the median Glasgow outcome score (GOS) of 6 months after operation was 4.0 (4.0, 5.0) in the group of neuroendoscopy under navigation, compared with the microsurgery group, the above indexes were significantly different (P < 0.05).Conclusion The neuroendoscopy under navigation can significantly shorten the operation time, improve the hematoma removal rate, reduce intraoperative and postoperative hemorrhage, reduce the normal brain tissue damage, reduce incidence of complications, shorten the length and rate of in ICU and hospitalization time, and improve the prognosis of hypertensive cerebral hemorrhage.