Efficacy of endoscopic surgery of intracranial hematoma through frontal parallel fiber bundle approach in the treatment of hypertensive cerebral hemorrhage
- VernacularTitle:经额平行纤维束入路神经内镜辅助颅内血肿清除术治疗高血压脑出血的疗效观察
- Author:
Jie LIU
1
;
Yuezhen SHEN
;
Kun LIU
Author Information
- Publication Type:Journal Article
- Keywords: hypertensive cerebral hemorrhage(HCH); removal of intracranial hematoma; neuroendoscope; trans frontal approach; fiber bundle
- From: China Journal of Endoscopy 2025;31(8):78-84
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the application effect of endoscopic surgery of intracranial hematoma through frontal parallel fiber bundle approach in hypertensive cerebral hemorrhage(HCH).Methods 100 patients with HCH from September 2020 to September 2024 were selected and divided into the study group(transfrontal parallel fiber bundle approach neuroendoscopic-assisted intracranial hematoma evacuation,48 cases)and control group(traditional craniotomy hematoma evacuation,52 cases)according to different surgical methods.The surgical-related indicators,inflammatory indicators,neurological function[national institute of health stroke scale(NIHSS)score],modified barthel index(MBI),postoperative complications and fiber bundle protection of the two groups of patients were compared.Results Compared with the control group,the study group had a shorter operation time and less intraoperative blood loss,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the hematoma clearance rate and residual hematoma volume between the two groups(P>0.05).At 14 and 28 d after the operation,interleukin-6(IL-6)and C-reactive protein(CRP)in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Compared with the control group,the NIHSS score of the study group was lower and the MBI was higher 3 months after the operation,and the differences were statistically significant(P<0.05).There was no statistically significant difference in postoperative complications and total complications rate between the two groups of patients(P>0.05).The postoperative fiber bundle protection rate in the study group was 75.00%,significantly higher than 17.31%in the control group,and the difference was statistically significant(P<0.05).Conclusion The efficacy of transfrontal parallel fiber bundle approach neuroendoscopic-assisted intracranial hematoma evacuation in the treatment of HCH is definite.It can reduce intraoperative bleeding,inhibit postoperative inflammation,protect the brain fiber bundle of patients,improve neurological function,and enhance the ability of daily living.It is worthy of clinical promotion and application.
