Effect of Removal of Hematoma Under Neuroendoscope and Craniotomy with Small Bone Window on Neurological Function and Complications in Patients with Supratentorial Hypertensive Intracerebral Hemorrhage
Objective To investigate the effect of removal of hematoma under neuroendoscope and craniotomy with small bone window on supratentorial hypertensive intracerebral hemorrhage(HICH).Methods A total of 102 patients with supratentorial HICH treated in Linyi Central Hospital from October 2021 to October 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 51 cases in each group.The control group underwent small bone window craniotomy hematoma removal,and the observation group underwent neuroendoscopic hematoma removal.The surgical indicators,neurological function,ability of daily living,quality of life and occurrence of complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(87.53±6.95)mL,which was less than(168.95±14.53)mL in the control group,the operative time was(65.24±7.25)min,and the length of hospitalization was(14.42±2.31)d,which were shorter than(107.21±10.54)min and(20.53±2.97)d of the control group,the clearance rate of hematoma was 94.12%,which was higher than 80.39%of the control group,the complication rate was 3.92%,which was lower than 17.65%of the control group,the differences between the groups were statistically significant(P﹤0.05).One month after surgery,the score of the National Institutes of Health Stroke Scale in the observation group was(11.57±1.56)points,which was lower than(15.31±2.15)points in the control group,and the score of the Activities of Daily Living Scale was(79.84±5.21)points,which was higher than(70.58±4.39)points in the control group,the differences between the groups were statistical significance(P﹤0.05);the scores of physical function,psychological function,social function and material life status in the Generic Quality of Life Inventory of the observation group were(78.53±4.98)points,(78.96±4.56)points,(80.53±4.16)points and(81.96±5.30)points,respectively,which were higher than(69.75±4.20)points,(71.34±3.97)points,(72.46±3.42)points and(73.59±4.11)points of the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Neuroendoscopic hematoma removal has the advantages of less trauma and faster recovery,which can reduce nerve damage in patients with supratentorial HICH,their improve daily living ability and quality of life,and have fewer complications.
Supratentorial hypertensive intracerebral hemorrhageSmall bone window craniotomy hematoma removalQuality of lifeComplications
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