Abstract：Objective To analyze the curative effect of minimally invasive surgery to remove hematoma under keyhole neuroendoscope after precise localization of temporal lobe hematoma. Methods Retrospective analysis was performed on the clinical data of 40 patients with spontaneous temporal lobe hematoma who were admitted to South Branch of Fujian Provincial Hospital from May 2015 to May 2019. They were divided into endoscopic group (20 cases) and traditional group (20 cases) according to different surgical methods. In the endoscopic group, the keyhole without sleeve was used as the working channel after precise positioning, and the hematoma was cleared by minimally invasive surgery under neuroendoscopy. While the traditional group was treated by traditional experiential craniotomy microscope. The operation and prognosis situations at 6 months were compared between the two groups. Results The hematoma clearance rate of the endoscopic group was higher than that of the traditional group, the operative time of the endoscopic group was shorter than that of the traditional group, the intraoperative blood loss of the endoscopic group was less than that of the traditional group, the differences were statistically significant (P＜0.05). The incidence of large area cerebral infarction in the endoscopic group (10.0%) was not significantly different from that in the traditional group (20.0%) (P＞0.05).Comparison of prognosis situation 6 months after operation between the two groups showed no statistically significant difference (P＞0.05). Conclusion For spontaneous temporal lobe hematoma, neuroendoscopic surgery after precise location does not require sleeve as a working channel, which has positive efficacy, safety and less bleeding, and is worthy of promotion.
Hostettler IC，Seiffge DJ，Werring DJ.Intracerebral hemorrhage：an update on diagnosis and treatment[J].Expert Rev Neurother，2019，19（7）：679-694.
[2]
Eroglu U，Kahilogullari G，Dogan I，et al.Surgical Management of Supratentorial Intracerebral Hemorrhages：Endoscopic Versus Open Surgery[J].World Neurosurg，2018，114：e60-e65.
[3]
Hemphill JC，Greenberg SM，Anderson CS，et al.Guidelines for the Management of Spontaneous Intracerebral Hemorrhage：A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association[J].Stroke，2015，46（7）：2032-2060.
Gui C，Gao Y，Hu D，et al.Neuroendoscopic minimally invasive surgery and small bone window craniotomy hematoma clearance in the treatment of hypertensive cerebral hemorrhage[J].Pak J Med Sci，2019，35（2）：377-382.
京公网安备 11010502046607号