Safety and effectiveness of neuroendoscopic surgery versus craniotomy for supratentorial intracerebral hemorrhage in elderly hypertensive patients
10.3969/j.issn.1009-0126.2024.10.017
- VernacularTitle:老年幕上高血压性脑出血患者神经内镜手术与开颅手术安全性和有效性比较
- Author:
Fujian ZOU
1
;
Dengzhi JIANG
;
Yang LI
Author Information
1. 402760 重庆医科大学附属璧山医院(重庆市璧山区人民医院)神经外科
- Keywords:
hypertension;
cerebral hemorrhage;
Glasgow coma scale;
neurosurgical procedures
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(10):1197-1200
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficacy of 3D-slicer software assisted neuroendo-scopic surgery and craniotomy for elderly patients with supratentorial intracerebral hemorrhage(ICH)due to hypertension.Methods A total of 150 elderly hypertensive patients with supraten-torial ICH admitted in our department from January 2020 to December 2022 were enrolled,and according to their approaches,they were divided into an endoscopic group(n=82)and a cranioto-my group(n=68).Clinical surgical status(operation time,intraoperative bleeding volume and he-matoma clearance rate)and prognosis(length of ICU stay,GCS score,postoperative rebleeding,and in-hospital mortality)were observed and compared between the two groups of patients.Results There were no statistical differences between the two groups in terms of operation time,intraoperative bleeding volume,postoperative rebleeding,or in-hospital mortality(P＞0.05).The endoscopic group had significantly higher hematoma clearance rate[(84.73±6.49)％vs(78.94±7.12)％,P=0.000],shorter length of ICU stay[(5.38±1.48)d vs(7.32±1.26)d,P=0.000],higher GCS scores in 7 d and 3 months after surgery(12.66±0.83 vs 11.82±0.97,P=0.000;13.72±1.27 vs 13.05±0.98,P=0.001),and lower total incidence of complications(4.9％vs 16.2％,P=0.022)when compared with the endoscopic group.Conclusion 3D-slicer software as-sisted neuroendoscopic surgery can significantly improve postoperatively neurological function and reduce the incidence of complications in elderly hypertensive patients with supratentorial ICH.
