Clinical Effect of Electromagnetic Navigation Assisted Neuroendoscopic Hematoma Clearance Sur-gery in the Treatment of Hypertensive Intracerebral Hemorrhage
[Objective]To investigate the efficacy of electromagnetic navigation assisted neuroendoscopic hema-toma evacuation in the treatment of hypertensive intracerebral hemorrhage(HICH)patients and its impact on short-term prognosis.[Methods]A retrospective analysis was conducted on the clinical data of 102 HICH patients admitted to our hospital.According to different surgical plans,they were divided into the observation group(trea-ted with electromagnetic navigation assisted neuroendoscopic hematoma evacuation)and the control group(treated with conventional neuroendoscopic hematoma evacuation),with 51 cases in each group.Two groups of periopera-tive indicators,National Institutes of Health Stroke Scale(NIHSS)scores before and after surgery,Modified Rankin Scale(mRS)scores,oxidative stress indicators(SOD,GSH-Px,MDA),vascular endothelial function in-dicators(AVP,Ang-1,ET),and incidence of complications were compared.[Results]The residual hematoma volume and hematoma clearance rate in the observation group were lower than those in the control group after sur-gery,and the hospitalization time was shorter than that in the control group,with statistical significance(P＜0.05).At 1 and 3 months after surgery,the NIHSS and mRS scores in both groups were lower than before surger-y,and the observation group was lower than the control group,with statistical significance(P＜0.05).One month after surgery,the levels of SOD and GSH-Px in the serum of both groups were higher than before surgery,and the level of MDA in the serum was lower than before surgery.The differences in these indicators between the two groups were statistically significant(P＜0.05).One month after surgery,the levels of serum AVP,Ang-1,and ET in both groups were lower than before surgery,and the observation group was lower than the control group,with statistical significance(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).[Conclusion]Electro-magnetic navigation assisted neuroendoscopic hematoma removal surgery can improve neurological function and prognosis in HICH patients,optimize perioperative indicators,alleviate oxidative stress,improve vascular endo-thelial function,and reduce the risk of complications.
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