Efficacy of neuroendoscopic surgery and craniotomy for spontaneous supratentorial intracerebral hemorrhage
Objective To investigate and compare the efficacy of neuroendoscopic surgery and craniotomy for spontaneous supratentorial intracerebral hemorrhage.Methods A total of 65 patients with spontaneous supratentorial intracerebral hemorrhage who were admitted in Dongguan People's Hospital in Guangdong,received neuroendoscopic hematoma evacuation(n=19)or craniotomy hematoma evacuation(n=46)from December 2019 to December 2020.The hematoma clearance rate,rebleeding rate,operation time,intraoperative blood loss,postoperative intensive care unit(ICU)length of stay,postoperative tracheotomy rate and 30 d postoperative mortality were recorded.Glasgow Coma Scale(GCS)7 d after surgery was used to evaluated the conscious,and modified Rankin Scale(mRS)3 months after surgery was used to assess the neurological functional prognosis.Results The hematoma clearance rate(t=2.393,P=0.020)and GCS score 7 d after surgery(t=3.445,P=0.001)in the neuroendoscopy group were higher than those in the craniotomy group,while the operation time(t=-13.318,P=0.000),intraoperative blood loss(t=-7.823,P=0.000),postoperative ICU length of stay(t=-4.183,P=0.000),postoperative tracheotomy rate(x2=5.277,P=0.022),and mRS score 3 months after surgery(t=-2.493,P=0.015)were lower than those in craniotomy group.Conclusions Neuroendoscopic surgery offers a higher hematoma clearance rate,less intraoperative blood loss,a shorter operation time and postoperative ICU length of stay,a lower postoperative tracheotomy rate,and improved postoperative conscious and neurological function prognosis,making it appropriate for clinical use.
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