Abstract

Objective To evaluate the use of endoscopic surgery conbined with sacculus-assisted cerebrum corridor creator for hypertensive basal ganglia cerebral hemorrhage.Methods Twenty patients with hyertensive intracerebral hematoma were evacuated with neuroendoscope combined with sacculus-assisted cerebrum corridor creator.The hematoma evacuation rate,rebleeding rate,mortality rate and GOS score were recorded.Results Complete evacuation of hematoma was achieved in 10 patients,and partial evacuation in 10.The hematoma evacuation rate was 93%.The rebleeding rate is 0.The mortality rate was 5%.According to GOS score at 6-month follow-up,the result was V in 9 patients,Ⅳ-in 6,Ⅲ in 3,Ⅱ and Ⅰ in one respectively.Conclusion Neuroendoscopic surgery for hypertensive intracerebral hematoma is characterized by safety,mininvasion,visuality,good hemostasis,good hematoma evacuation,and is a new way in hypertensive cerebral hemorrhage. Key words: Hypertensive intracerebral hemorrhage; Neuroendoscope ; Sacculus ; Cerebrum corridor creator

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