Efficacy of minimally invasive neuroendoscopic surgery on the treatment of hypertensive cerebral hemorrhage in basal ganglia

Abstract

Objective To explore the clinical efficacy of minimally invasive neuroendoscopic surgery for the evacuation of hypertensive cerebral hemorrhage in basal ganglia. Methods The clinical data of 60 patients with hypertensive basal ganglia hemorrhage treated in the Fuyang Affliated Hospital of Bengbu Medical College from June 2015 to October 2016 were retrospectively analyzed. The patients were divided into control group (n=30), in which patients underwent conventional craniotomy, and observation group (n=30) receiving neuroendoscopic minimally invasive surgery. Results Compared with the control group, the observation group showed shorter operative time [1.1 (0.9, 1.5) h vs. 3.1 (2.5, 3.7) h], less intraoperative bleeding [48 (44, 60) mL vs. 300 (298, 326) mL] and less hospital stays [(13.67±1.92) d vs. (20.53±2.03) d] and higher evacuation rate [(92.27±4.28)% vs. (85.17±9.01) %], and the differences were statistically significant (Z=-6.504, Z=-6.681, t=3.871, t=-13.470, all P values<0.01). In the postoperative follow-up, the recovery rate in the observation group (83.33%, 25/30) were significantly higher than that in the control group(56.67%, 17/30), with statistically significant difference (χ2=5.079, P<0.05). Conclusions Minimally invasive neuroendoscopic surgery has shorter operation time and less intraoperative blood loss, higher evacuation rate, resulting in better prognosis than conventional craniotomy. It can be widely applied in clincal practices. Key words: Intracranial hemorrhage, hypertensive; Neuroendoscopy; Craniotomy