Needlescope-assisted neurosurgery through transparent sheath for hypertensive intracerebral hemorrhage
Objective To explore the application of needlescope-assisted neurosurgery through transparent theath treating hypertensive intracerebral hemorrhage(HICH). Method The clinical data of 35 patients with HICH who underwent needlescope-assisted neurosurgery through transparent sheath were analyzed retrospectively. Results Postoperative CT showed that the total evacuation of haematomas was reached in 25 patients, subtotal evacuation in 6 and greatly part evacuated in 4. The mean operation time was 2.3 hours.There were no postoperative rebleeding in all patients except one who was underwent needlescope-assisted neurosurgery again for the rebleeding. The prognoses were assessed by GOS during following up period of 6 months after the surgery. Of 35 patients, 14 belonged in GOS grade Ⅴ, 5 in gradeⅣ,10 in grade Ⅲ, 5 in grade Ⅱ, 1 in grade Ⅰ. Conclusion The needlescope-assisted neurosurgery through transparent theath treating HICH has the advantages including directly haematomas evacuating, wide visual field, short operation time, slight surgery-side injury, high haematomas evacuation rate and fewer postoperative rebleeding rate.