Analysis of the Efficacy and Safety of Neuroendoscopic Brain Hematoma Removal and Small Bone Window Craniotomy in the Treatment of Hyper-tensive Cerebral Hemorrhage
Objective To investigate the clinical efficacy and safety of small bone window craniotomy(hereinafter re-ferred to as"small bone surgery")and neuroendoscopic brain hematoma removal(hereinafter referred to as"endos-copy")in patients with hypertensive cerebral hemorrhage.Methods A total of 80 patients with hypertensive cerebral hemorrhage admitted to Gansu Provincial Hospital of Traditional Chinese Medicine from May 2019 to May 2023 were randomly selected as the research objects.According to different surgical methods,the observation objects were di-vided into two groups,with 40 cases in each group.The control group was treated with small bone surgery,and the ob-servation group was treated with endoscopy.The therapeutic effect,degree of neurological deficit,recovery of neuro-logical function,state of consciousness and complications were compared between the two groups.Results The intraop-erative blood loss in the observation group was less than that in the control group,and the operation time and hospital-ization time were shorter than those in the control group,the differences were statistically significant(all P<0.05).At discharge,the National Institutes of Health Stroke Scale score and Modified Rankin Scale score of the observation group were lower than those of the control group,and the Glasgow Coma Score was higher than that of the control group,the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(χ2=4.507,P<0.05).Conclusion For patients diagnosed with hypertensive cerebral hemorrhage and requir-ing surgical treatment,the therapeutic effect of endoscopy is significantly better than that of small bone surgery,and the former can reduce intraoperative blood loss,shorten operation time and hospitalization time,improve neurological function and consciousness,and reduce complications.
Hypertensive cerebral hemorrhageNeuroendoscopic brian hematoma removalSmall bone window craniotomySecurity
NETL
NSTL
万方数据
