Comparative Of The Efficacy Of Neural Navigation Assisted Endoscopic And Microsurgical Craniotomy Treatment For Hypertensive Cerebral Hemorrhage In Basal Ganglia Region

Objective:To explore the clinical application and value of endoscopic surgery in the treatment of hypertensive cerebral hemorrhage assisted with neuronavigation,we compared it with traditional craniotomy.Methods:We collected hypertensive cerebral hemorrhage patients with the application of neuronavigation assisted endoscopic surgery from January 2012 to November 2016,and randomly selected 30 cases as navigation endoscopy group;and collected hypertensive cerebral hemorrhage patients with craniotomy and then randomly selected 30 cases as the craniotomy group.What did we respectively record about the two groups were postoperative GCS score,skin incision length,operation time,bleeding volume,length of stay,postoperative complications,and KPS score of the postoperative follow-up of sixth months;after that,the dates of the two groups were compared and analyzed.Results :Compared the navigation endoscopy group to the craniotomy group,postoperative GCS score did not achieve statistically significant difference(P>0.05);in the skin incision,there was statistically significant difference between two groups(P<0.05),the average incision length in the navigation endoscopy group was(4.22±0.43)cm,however it was(13.23±1.00)cm in the craniotomy group;as for the operation time,it was averagely(90.27±14.31)min for the navigation endoscopy group,and(186.50±26.62)min for the craniotomy group,there was statistical difference between two groups(P<0.05);withregard to the amount of intraoperative bleeding,the mean amount in the navigation endoscopy group was(74.33±22.23)ml,and(194.33±35.40)ml in the craniotomy group,the difference was statistically significant(P<0.05);and the average hospitalization days for the test group was(12.40±2.28)d,(15.87±2.42)d for the craniotomy group,it was considered statistically significant(P<0.05);in complications,the test group incidence was significantly lower than that in the craniotomy group,the difference between the two groups has statistical significance(P<0.05);after postoperative follow-up of 6 months,we found that the prognosis of navigation endoscopy group is better than that of craniotomy group,and statistical significance was described by analyzing the KPS scores of two groups(P<0.05).Conclusion:Neuronavigation assisted endoscopic technique in the treatment of hypertensive cerebral hemorrhage has many advantages,such as accurate localization,direct vision,perfect hemostasis,and less bleeding.It is minimally invasive and can also shorten the operation time as well as lengths of stay.Besides,It can reduce complications and better postoperative quality of life.