Clinical Evaluation of Neuroendoscopic Removal of Intracerebral Hematoma
Objective:To explore the clinical application of neuroendoscopic brain hematoma removal surgery.Methods:This study selected 40 patients with hypertensive intracerebral hemorrhage admitted to our hospital from May 2021 to May 2023 as the study subjects.They were divided into an observation group and a control group of 20 cases each based on the draw results.The control group underwent craniotomy hematoma removal surgery,while the observation group underwent neuroendoscopic intracerebral hematoma removal surgery.The clinical indications,treatment effectiveness,hematoma removal rate,and incidence of complications were compared between the two groups.Results:The observation group had shorter surgical time,ICU retention time,hospital stay,and hematoma cavity drainage tube extraction time compared to the control group,and the intraoperative blood loss in the observation group was significantly lower than that in the control group(P<0.05);The effective rate of treatment in the observation group is 90.00%,while the effective rate of treatment in the control group is 60.00%.The observation group is higher than the control group,and the difference is significant(χ2=4.800,P=0.028);The hematoma clearance rate in the observation group was 85.00%higher than that in the control group,which was 50.00%,and the difference was significant(χ2=5.584,P=0.018);The incidence of complications in the observation group was 15.00%lower than that in the control group,which was 55.00%,and the difference was significant(χ2=7.033,P=0.008).Conclusion:In the surgical treatment of patients with cerebral hemorrhage,neuroendoscopic intracerebral hematoma removal can effectively reduce the time required for surgery,ICU retention,hospitalization,and ventricular drainage tube removal.Moreover,the amount of bleeding during this surgery is less than that of craniotomy hematoma removal,which can effectively improve the effectiveness of manual treatment.Moreover,the hematoma removal rate of this surgery is higher and the incidence of complications is lower.
neuroendoscopysurgical removal of intracerebral hematomaclinical effects