Analysis of the therapeutic effects of intraoperative VR assisted neuroendoscopic hematoma re-moval and stereotactic intracranial hematoma drainage in the treatment of basal ganglia HICH
Objective To explore the efficacy of intraoperative virtual reality(VR)assisted neuroendoscopic hematoma removal and stereotactic drainage in patients with hypertensive intrac-erebral hemorrhage(HICH)in the basal ganglia region.Methods 106 HICH patients admitted to the hospital from September 2022 to May 2023 were selected as the study subjects.They were divided into group A and group B by random number table method.Group A was treated with in-traoperative VR-assisted neural endoscopic hematoma evacuation(NEIHE),and group B was treated with stereotactic intracranial hematoma drainage surgery.The perioperative indicators,puncture conditions,hematoma clearance,and levels of inflammatory indicators before and 3 months after surgery were compared between the two groups,and the prognosis of the two groups 3 months after surgery was observed.Results The surgical time in Group A was longer than that in Group B,and the postoperative hematoma drainage time and hospitalization time were shorter than those in Group B(P＜0.05).The success rate of the first puncture in Group A was higher than that in Group B,and the hematoma clearance rate on the 1st and 5th day after surgery was higher than that in Group B(P＜0.05).The levels of serum C-reactive protein(CRP),interleu-kin-6(IL-6)and tumor necrosis factor-α(TNF-α)in the two groups were lower than those before operation,and those in group A were lower than those in group B at 3 months after opera-tion(P＜0.05).The National Institutes of Health Stroke Scale(NIHSS)scores of both groups decreased 3 months after surgery,and Group A was lower than Group B.The Barthel(BI)index increased in both groups,and Group A was higher than Group B(P＜0.05).Conclusion Com-pared to stereotactic intracranial hematoma drainage,intraoperative VR assisted NEIHE can im-prove the success rate of intraoperative puncture and hematoma removal rate,shorten the postop-erative hematoma drainage time and hospitalization time of patients,reduce the body's inflammato-ry response,and promote the recovery of neurological function and daily life ability of patients.
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