DTI and ADL were used to evaluate the effect of intracerebral hematoma removal through frontal keyhole approach by neuroendoscopy and through temporal cortex by microscope on the prognosis of patients
10.3969/j.issn.1005-6483.20240737
- VernacularTitle:应用DTI及ADL评估经额神经内镜下脑内血肿清除术与经颞叶皮层入路显微镜下血肿清除术对病人预后的影响
- Author:
Tongqi GUO
1
;
Fuyong LI
1
;
Peisi ZHANG
1
;
Zhichao WANG
1
;
Xuhui SHEN
1
Author Information
1. 110000 辽宁沈阳,中国医科大学人民医院神经外科
- Publication Type:Journal Article
- Keywords:
basal ganglia hemorrhage;
neuroendoscopy;
diffusion tensor imaging;
activities of daily living
- From:
Journal of Clinical Surgery
2025;33(6):585-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of through frontal keyhole approach neuroendoscopic surgery of basal ganglia hemorrhage on nerve conduction tract and prognosis.Methods 56 patients with hypertensive basal ganglia hemorrhage treated in our department from October 2017 to October 2023 were selected and divided into observation group and control group.Among them,28 patients in the control group underwent microscopic surgery through temporal cortex approach,while 28 patients in the observation group underwent endoscopic surgery through frontal keyhole approach.Fractional anisotropy and activities of daily living were compared between the two groups after operation.Results The proportion of FA Ⅰ grade in observation group was 88.9％and 70.0％in GCS Ⅰ grade and GCS Ⅱgrade patients,respectively,while in control group it was 75.0％and 41.7％.The proportion of ADL Ⅰand Ⅱ grade in observation group was 94.4％and 70.0％in GCS Ⅰ grade and GCS Ⅱ grade patients,respectively,whereas in control group it was 81.3％and 41.7％.The integrity of the corticospinal tract and activities of daily living in observation group were better than those in control group,with statistical significance(P＜0.05).Conclusion The surgery of hypertensive basal ganglia hemorrhage with neuroendoscopy through frontal keyhole approach has little influence on nerve conduction tract and the prognosis was better than traditional microscopic surgery through temporal cortex approach.
