Application Effect of Neuroendoscopy-Assisted Hematoma Evacuation Surgery Approach Through the Lateral Fissure and Insula in Patients with Cerebral Hemorrhage in Basal Ganglia Region
Objective To explore the application effect of neuroendoscopy-assisted hematoma evacuation surgery approach through the lateral fissure and insula in patients with cerebral hemorrhage in basal ganglia region.Methods A total of 50 patients with basal ganglia region cerebral hemorrhage treated in Zouping People's Hospital from June 2019 to August 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 25 cases in each group.The control group was treated with hematoma removal via temporal cortex approach,and the observation group was treated with the neuroendoscopy-assisted removal of hematoma through the lateral fissure and insula approach.Perioperative indicators,serum levels of nerve injury factors,inflammatory factors and occurrence of surgical complications were compared between the two groups.Results The operation time,postoperative consciousness recovery time and hospitalization time in the observation group were(2.14±0.56)h,(5.04±0.67)h and(11.25±1.31)d,which were shorter than(2.76±0.69)h,(6.59±0.73)h and(13.72±2.15)d in the control group,and the differences between the groups were statistically significant(P<0.05).After 3 days of operation,the levels of glial fibroacidic protein,astroglial derived protein,neuron-specific enolase,interleukin-4,C-reactive protein and tumor necrosis factor-α were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Comparison of intraoperative blood loss and incidence of surgical complications,and the differences were no statistically significant(P>0.05).Conclusion Neuroendoscopy-assisted hematoma evacuation surgery via the lateral fass-insula approach has yielded favorable results in the treatment of patients with basal ganglia region cerebral hemorrhage.The surgery has less trauma to the patients,the operation time and postoperative recovery time are short,which is helpful to reduce the damage to the brain nerve function.Meanwhile,the postoperative inflammatory factors are low,safe and reliable,and worthy of promotion and application.
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