Published online Oct 6, 2021. doi: 10.12998/wjcc.v9.i28.8358
Peer-review started: May 27, 2021
First decision: June 24, 2021
Revised: July 2, 2021
Accepted: August 5, 2021
Article in press: August 5, 2021
Published online: October 6, 2021
Surgical treatment is a common method for hypertensive cerebral hemorrhage. The traditional craniotomy has a large skull window and good effect on removing edema, which is helpful for patients to pass through the peak period of brain edema. However, patients with this operation should be carried out under general anesthesia, and the wound caused by this operation is large. Therefore, most patients need blood transfusion. Some patients may have stronger edema reaction after surgical treatment, which is not conducive to postoperative recovery of patients.
Explore the application value of neuroendoscopic minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage.
The advantages and disadvantages of hard channel minimally invasive puncture drainage and neuroendoscopic minimally invasive surgery in hypertensive in
A total of 118 patients with hypertensive cerebral hemorrhage were reviewed. The control group was treated with hard-channel minimally invasive puncture and drainage, and the observation group was treated with endoscopic minimally invasive surgery. The changes of serum P substances, inflammatory factors, National Hospital Stroke Scale (NIHSS) score and Barthel index were recorded, and the surgical related indexes and prognosis of the two groups were compared.
The operation time and intraoperative blood loss in the observation group were longer than those in the control group, with no advantages. Hematoma clearance rate and good prognosis rate at 48 h and 72 h after operation were higher than those in control group (P < 0.05); Complication rates in both groups not statistically significant (P > 0.05) The inflammatory cytokines, NIHSS score and Barthel index in the postoperative 14 d, observation groups were better than in the control group (P < 0.05).
Neuroendoscopic minimally invasive surgery for hypertensive intracerebral hemorrhage is relatively complex, but hematoma removal is more complete and the effect is better.
Minimally invasive neuroendoscopic surgery can be more widely used in the treatment of hypertensive cerebral hemorrhage.