Clinical Study of Neuroendoscopic Surgical Treatment of Cerebral Hemorrhage in the Basal Ganglia Region
Objective:To explore the promise of neuroendoscopy in the surgical treatment of cerebral hemorrhage in the basal ganglia region.Methods:The clinical data of 31 patients with cerebral hemorrhage in the basal ganglia region treated by endoscopic surgery admitted from March 2019 to March 2021 and 38 patients who underwent conventional craniotomy microscopic surgery in the same period were selected.Intraoperative time,bleeding volume,postoperative residual blood volume,GCS score on the 7th postoperative day,postoperative complications and prognosis of the two groups were compared and analyzed.Results:The endoscopic group had a shorter intraoperative time,less bleeding than the microscopic group,and a higher GCS score than the microscopic group on the 7th postoperative day,with statistically significant differences(t=12.670,9.608,2.289,P＜0.05).Postoperative tracheotomy and gastrointestinal bleeding were more frequent in the endoscopic group than in the microscopic group,and the difference was statistically significant(χ2=5.074,5.650,P＜0.05).The prognosis of the endoscopic group was better than that of the microscopic group,and the rate of good prognosis(ADL grade Ⅰ～Ⅲ)was higher in the endoscopic group than in the microscopic group,with statistically significant difference(χ2=14.380,P＜0.05).The difference in mortality between the two groups was not statistically significant(χ2=0.842,P＞0.05).Conclusion:Neuroendoscopy helps in the surgical treatment of cerebral hemorrhage in the basal ganglia region.
Cerebral hemorrhage in the basal ganglia regionNeuroendoscopyNeurosurgery
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NSTL
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