Protective effect of stereotactic neuroendoscopic hematoma evacuation on neurological function in hypertensive intracerebral hemorrhage patients
10.3969/j.issn.1009-0126.2025.02.017
- VernacularTitle:立体定向神经内镜血肿清除术对老年高血压性脑出血患者神经功能的保护作用研究
- Author:
Jie GAO
1
;
Yu YUAN
;
Mingyue LI
;
Ming ZHANG
;
Xu LIU
Author Information
1. 063000 唐山市工人医院神经外二科
- Publication Type:Journal Article
- Keywords:
neuroendoscopy;
intracranial hemorrhage,hypertensive;
basal ganglia;
prognosis
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(2):202-205
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects of stereotactic endoscopic hematoma evacuation on elderly patients with hypertensive intracerebral hemorrhage.Methods A total of 220 patients with hypertensive intracerebral hemorrhage in the basal ganglion admitted to our hospital from January 2020 to December 2023 were retrospectively recruited.According to their surgical treat-ment,they were divided into an observation group(stereotactic endoscopic hematoma evacuation,n=100)and a control group(craniotomy hematoma removal surgery,n=120).Postoperative recovery was observed and compared between the two groups.Results There was no significant difference in operation time between the observation group and the control group(94.56±14.75 min vs 94.03±14.50 min,t=0.268,P=0.789).No statistical differences were observed in the NIHSS score before operation between the two groups(P=0.058),but the observation group obtained significantly lower NIHSS scores in 3 and 6 months after surgery(5.90±4.02 vs 9.23±3.47,P=0.000;4.54±2.56 vs 6.50±3.07,P=0.000).There were no significant differences in GOS score and incidence of postoperative complications between the two groups(P＞0.05).Conclusion Stereotactic endoscopic hematoma evacuation can improve postoperative neurological function in patients with hypertensive intracerebral hemorrhage in the basal ganglia region.
