Neuroendoscopic hematoma removal and small bone window craniotomy for hypertensive intracerebral hemorrhage
10.3969/j.issn.1009-0126.2019.05.021
- VernacularTitle:老年高血压脑出血患者神经内镜下血肿清除术与小骨窗开颅血肿清除术的临床疗效
- Author:
Jianzhong YE
1
;
Hongwei ZHANG
;
Shouli WANG
;
Fengqi CUI
Author Information
1. 首都医科大学良乡教学医院神经外科
- Keywords:
hypertension;
cerebral hemorrhage;
hematoma;
neuroendoscopy;
punctures;
craniotomy;
intraoperative period
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2019;21(5):530-533
- CountryChina
- Language:Chinese
-
Abstract:
Objective To suty the clinical efficacy of neuroendoscopic hematoma removal and small bone window craniotomy in elderly patients with hypertensive intracranial hemorrhage.Methods One hundred and twelve hypertensive intracranial hemorrhage patients admitted to our hospital from January 2014to January 2017were divided into neuroendoscopic hematoma removal group (n=50)and small bone window craniotomy group(n=62).They underwent neuroendoscopic hematoma removal and small bone window craniotomy respectively.The operation time,intraoperative blood loss,hematoma clearance rate and postoperative complications,ADL and NDS scores on admission and at month 3after operation were compared between the two groups.Results The total effective rate was significantly higher in neuroendoscopic hematoma removal group than in small bone window craniotomy group(90.0％vs 83.9％,P＜0.05).The operation time was significantly longer,the intraoperative hemorrhage volume was significantly smaller,the hematoma clearance rate was significantly higher in neuroendoscopic hematoma removal group than in small bone window craniotomy group(P ＜0.05).The ADL score was significantly higher while the NDS score was significantly lower in two groups at month 3after operation than at admission(P＜0.05)and in neuroendoscopic hematoma removal group than in small bone window craniotomy group at month 3after operation than at admission(P＜0.05).The incidence of complications was significantly higher in small bone window craniotomy group than in neuroendoscopic hematoma removal group(24.2％vs 20.0％,P＜0.05).Conclusion The clinical efficacy of neuroendoscopic hematoma removal is significantly higher than that of small bone window craniotomy in elderly patients with hypertensive intracerebral hemorrhage.Neuroendoscopic hematoma removal can shorten the operation time,reduce the intraoperational bleeding volume,and is thus worthy of popularization in clinical practice.
