Objective:To investigate the efficacy and safety of neuroendoscopic treatment for hypertensive intracerebral hemorrhage(HICH).Methods:A retrospective analysis was conducted on 150 patients with HICH who underwent surgical treatment at Changdu People's Hospital.Patients were divided into two groups based on the surgical approach:a control group receiving conventional mini-open craniotomy and a study group receiving neuroendoscopic-assisted surgery.Preoperative and postoperative hematoma volumes,GCS scores,intraoperative blood loss,operation time,hematoma clearance rate,and mRs scores at the 6-month follow-up were compared between the two groups.Results:Both groups showed significant improvements in postoperative hematoma volume and GCS scores(P＜0.05).However,there were no statistically significant differences in hematoma clearance rate and mRs scores at the 6-month follow-up between the two groups(P＞0.05).The study group had significantly less intraoperative blood loss,shorter operation time,and better postoperative GCS scores and postoperative satisfaction compared to the control group(p<0.05).Conclusion:Neuroendoscopic treatment for HICH is effective,with advantages such as minimal trauma and low complication rates,making it worthy of clinical promotion.
维普
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