Clinical effect of frontal keyhole endoscopy in the treatment of hypertensive basal ganglia intracerebral hemorrhage
LIU Xin-min ZHANG Qing-hua ZHANG Qing-ping QIN Guo-qiang ZHANG Qiang ZHANG Li HONG Quan-qiu
Department of Neurosurgery, Xiehe Shenzhen Hospital of Huazhong University of Science and Technology (Shenzhen Nanshan District People′s Hospital), Guangdong Province, Shenzhen 518052, China
Abstract：Objective To investigate the effectiveness and practicability of neuroendoscopy through frontal keyhole craniotomy in the treatment of hypertensive basal ganglia intracerebral hemorrhage. Methods The clinical data of 40 patients with basal ganglia intracerebral hemorrhage treated in the Department of Neurosurgery of Xiehe Shenzhen Hospital of Huazhong University of Science and Technology from January 2019 to December 2020 were analyzed retrospectively. According to the treatment methods, they were divided into the observation group and the control group,with 20 cases in each group. The observation group was treated with neuroendoscope assisted transfrontal keyhole craniotomy, and the control group was treated with microscopical craniotomy. The perioperative indexes and complications of the two groups were recorded. The patients were followed up for 6 months, the prognosis was evaluated by Glasgow outcome scale (GOS). Results The operation time of the observation group was shorter than that of the control group,the amount of intraoperative blood loss and postoperative residual volume of the observation group were less than those of the control group, and the hematoma clearance rate of the observation group was higher than that of the control group, the differences were all statistically significant (P＜0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (5.0%[1/20] vs. 35.0%[7/20]), the difference was statistically significant(χ2=5.630, P＜0.05). There was no death in the two groups at 6 months after operation, and the good prognosis rate in the observation group was higher than that in the control group (85.0%[17/20] vs. 60.0%[12/20]), the difference was statistically significant (χ2=7.35, P＜0.05). Conclusion Neuroendoscopy through frontal keyhole craniotomy is effective and minimally invasive in the treatment of hypertensive basal ganglia intracerebral hemorrhage, with high hematoma clearance rate, and can improve the prognosis of patients, which is worthy of promotion.
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