Clinical Observation Of Hard Passage Assisted Endoscopic Surgery Of Supratentorial Hypertensive Intracerebral Hemorrhage Through Long Axis Approach

OBJECTIVE Review the clinical materials of the patients with supratentorial hypertensive intracranial hemorrhage who were operated by different surgical methods and different approaches to find out the advantages of the long axis approach endoscope surgery.Design the prospective study to find out if hard passage can make a change in the long axis approach endoscope surgeries curing patients with supratentorial hypertensive intracranial hemorrhage.METHODS Review the clinical materials of the 358 patients with supratentorial hypertensive intracranial hemorrhage who were operated by the traditional way between the year of 2007 to 2014.Analyze the factors: gender,location of the hemorrhage,volume of hematoma,with or without ventricular hemorrhage,with or without hernia,with or without aspirations to find the decide factors who can worse the mortality.Review the clinical materials of the 109 operated patients with supratentorial hypertensive intracranial hemorrhage by endoscope surgery and traditional craniotomy in the year 2015 to 2016.Observe the prognosis.Design the prospective study for the 72 patients with supratentorial hypertensive intracranial hemorrhage who were assigned randomly into two groups.The intervention group would take the long axis approach endoscope surgeries under hard passage assisting while the control group without hard passage.RESULTS 1.the mortality of the surgery therapy in the 8 years stayed and gained no improvement.2.The mortality of the endoscopy surgeries is significant reduction.The morbidity of lung infection and rehamorrhge of significant lower than the traditional surgeries.The endoscopy surgeries also can evacuate more hematoma and take much less time than the traditional surgeries.The endoscopy surgeries also caused shorter inpatient time and less finance cost than the traditional surgeries.The long axis approach endoscope surgeries got no lower mortality than the non-long axis approach ones.However,they gained a much lower morbidity of lung infection and rebleeding.They also can evacuate more hematoma and take much less time than the non-long axis approach ones.They also caused shorter inpatient time and less finance cost.3.the intervention group got no lower mortality than the control group.The GOS score after six months of the intervention group is significant better than control group.They also caused shorter inpatient time and less finance cost.CONCLUSIONS 1.the mortality of the surgery therapy in the 8 years stayed and gained no improvement.2.The endoscopy surgery has a significant advance towards the traditional surgery.Also,the long axis approach endoscope surgery got significant advances towards the non-long axis approach including society efforts.3.The long axis approach endoscopy surgery under hard passage assisting has a significant advance towards the ones without hard passage assisting.