Short-term efficacy of different surgical methods for hypertensive intracerebral hemorrhage in the basal ganglia region
Objective To explore the effects of different surgical methods on perioperative indicators,serum neurospecific enolase(NSE)and prealbumin(PA)levels,neurological function,and postoperative complications in patients with hypertensive intracerebral hemorrhage(HICH)in the basal ganglia region.Methods The data of 83 patients with HICH in the basal ganglia region who received surgical treatment in Nanjing Lishui People's Hospital from January 2021 to January 2023 were collected.Among them,43 patients received navigation-assisted neuroendoscopic hard channel minimally invasive treatment(endoscopic group),and the remaining 40 patients received small bone window craniotomy hematoma removal(craniotomy group).The perioperative indexes,serum NSE and PA levels before and after operation,the National Institutes of Health Stroke Scale(NIHSS)score and postoperative complications in the two groups were statistically analyzed.Results Compared with the craniotomy group,the endoscopic group had longer operation time,less blood loss,higher hematoma clearance rate,and shorter ICU stay.The differences between groups were statistically significant(t=8.504,8.332,10.222,9.180,P<0.05).Serum NSE and NIHSS scores in the two groups were significantly lower on day 7 after surgery than before surgery,and the differences were statistically significant(t=28.137,19.333,30.472,16.683,P<0.05).Serum NSE and NIHSS scores in the endoscopic group were significantly lower than those in the craniotomy group on day 7 after surgery,and the differences were statistically significant(t=3.775,10.113,P<0.05).Serum PA in the two groups were significantly higher on day 7 after surgery than before surgery,and the differences were statistically significant(t=-13.077,-9.189,P<0.05).Serum PA in the endoscopic group was significantly higher than that in the craniotomy group on day 7 after surgery than before surgery,and the difference was statistically significant(t=3.541,P<0.05).The total incidence of postoperative complications in the endoscopic group was 9.30%,significantly lower than 30.00%in the craniotomy group,and the difference was statistically significant(χ2=5.705,P<0.05).Conclusion Navigation-assisted neuroendoscopic hard-channel minimally invasive surgery for treating HICH in the basal ganglia region has the characteristics of minimally invasive,efficient,good postoperative neurological recovery,and fewer complications,which is more advantageous than small bone window craniotomy hematoma removal.
Basal ganglia regionHypertensive intracerebral hemorrhageNeuroendoscopeNav-igationSmall bone window hematoma removalNeurospecific enolasePrealbumin
NETL
NSTL
万方数据
维普
