Observation On The Therapeutic Effect Of Neural Navigation Assisted Endoscopy Treatment Of Hypertensive Cerebral Hemorrhage In Basal Ganglia

Objective: to compare the therapeutic effect of neuro-navigation assisted endoscopic hematoma removal in the treatment of hypertensive intracerebral hemorrhage in basal ganglia.Methods: this study collected patient data of patients with hypertensive intracerebral hemorrhage from January 2014 to June 2017 in the neurosurgery department of the central hospital of Dalian city.Among patients with surgery,30 patients were randomly selected respectively for the operation of neuro-assisted endoscopic hematoma removal and the removal of hematoma under the cranioscope.According to Glasgow Coma Scale(GCS),patients,with the GCS > 8 points who had received line neural navigation assisted endoscopic removal of hematoma and microscope craniotomy for removal of hematoma were divided into Group A1 and Group B1(n = 20),whereas patients,with the GCS≤8 points,who had received line neural navigation assisted endoscopic removal of hematoma and removal of microscope craniotomy hematoma were divided into Group A2 and Group B2(n = 10).The age,sex and blood loss of Group A1 and Group B1,Group A2 and Group B2 were statistically compared(P >0.05),and the data of the two groups were not different but comparable.Intraoperative incision length,operative time,and intraoperative blood loss were recorded during the p\operation.All patients reviewed the head CT in 24 h after surgery,and the residual blood volume got calculated to obtain the clearance rate of hematoma.The preoperative and postoperative GCS were calculated and recorded,so it was the postoperative complications.When patients were discharged from hospital,statistical records of patients’ length of hospital stay;telephone follow-up would be made among patients and their families 3 months and 6months after operation respectively,thus understanding and recording postoperative recovery of patients,and figuring out the score according to the daily life ability score(ADL score).SPSS 22.0 was used to analyze the data statistically and make contrastive analysis the differences in efficacy between the two methods.Results: In the comparison of surgical incision length and operation time,both Group A1 and Group A2 were less than Group B1 and Group B2,with statistically significant differences(P<0.05).For the statistical comparison of intraoperative blood loss,both Group A1 and Group A2 were less than Group B1 and Group B2,with statistically significant differences(P<0.01).There was no difference between the two methods for improving the score of GCS after surgery(P >0.05).The comparison of two surgical methods in the clearance rate of hematoma was not statistically significant(P >0.05).In the comparison of hospitalization days,the Group A1 had less than Group B1,with statistical difference(P <0.05).There was no statistical difference between Group A2 and Group B2(P>0.05).In the comparison between the Group A1 and the Group B1 in the neuronavigation assisted endoscopy group,the incidence of postoperative complications of the neuronavigation assisted endoscopy group was less than that of the craniotomy group,which was statistically significant(P<0.05).The comparison between Group A2 and Group B2 was not statistically significant(P>0.05).In comparison with the prognosis of patients,the ADL score of Group A1 was greater than that of Group B1 in the comparison of Group A1 and Group B1 in the neuronavigation assisted endoscopy group,with statistical significance(P < 0.05).Compared with Group B2,the ADL scores of the two groups were not different(P>0.05).Conclusion:1.The surgical incision length,surgical time,intraoperative blood loss,and neuronavigation assisted endoscopic hematoma removal were better than those in the craniotomy group.2.The removal rate of hematoma and the improvement of GCS after operation were compared with that of the neuronavigation assisted endoscopic hematoma removal group and the removal of cranial hematoma.3.There was no significant difference in the number of patients with GCS between 4and 8 in the number of hospitalized days,postoperative complications and prognosis.4.For GCS at least nine points and 9 points the hospitalization days of patients,postoperative complications and prognosis,neural navigation line assisted endoscopic removal of hematoma group is superior to the removal of hematoma craniotomy group.