| Objective:To compare the clinical efficacy of endoscopicintracerebral hematoma removal and conventional craniotomy in the treatment of moderate basal ganglia hemorrhageMethods:The subjects were 40 patients with neuroendoscopic hematoma removal(endoscopic group)and 40 patients with traditional craniotomy(craniotomy group)in the affiliated hospital of Taishan medical college.The collected clinical data were retrospectively analy-zed by collecting data of operation time,blood volume,clearance rate of hematoma,hospital stay,postoperative complications and so on.The improved Barthel index scale was used to evaluate patients’ daily life ability.SPSS19.0 statistical software analysis two groups of patients’ age,sex,amount of hematoma,preoperative GCS score,GCS score after operation,postoperative Barthel index,postoperative complications,such as different-ces,comparative analysis the advantages and disadvantages of two kinds of operative methods and their indicationsResults:The clinical data of the endoscopic group and the craniotomy group were not different(P>0.05),The operation time of endoscopic group(1.5±0.4h)was shorter than that in the craniotomy group(3.9±0.6h)(P<0.05).The blood volume of the endoscopic group(40.0±19.7ml)was less than that of the craniotomy group(357.6±58.93ml)(P<0.05).The clearance rate of hematoma in the endoscopic group(95.84±2.72%)was higher than that in the craniotomy group(87.48±7.84%)(P<0.05).The length of hospitalization in the endos-copy group(11.5± 1.5d)was shorter than that in the craniotomy group(23.0±3.2d)(P<0.05).Intracranial infection endoscopy group(2 cases)was less than the craniotomy group(4 cases)(P<0.05).Conclusion:Endoscopic surgery for hypertensive intracerebral hemorrhage with moderate basal ganglia region has the characteristics of minimally invasive and high efficiency,and the treatment effect is better than conventional craniotomy hematoma evacuation.It is worthy of clinical promotion... |
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