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| Clinical effect comparison of minimally invasive neuroendoscopic surgery and microsurgery in the treatment of hypertensive cerebellar hemorrhage |
| LI Wen-sheng HUANG Rui-hong |
| Department of Neurosurgery, the Second Hospital of Sanming City |
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Abstract Objective To compare the clinical effect of minimally invasive neuroendoscopic surgery and microsurgery in the treatment of hypertensive cerebellar hemorrhage. Methods A total of 82 patients with hypertensive cerebellar hemorrhage who were admitted to the Second Hospital of Sanming City in Fujian Province from January 2015 to December 2019 were divided into the observation group and the control group according to random number table method,with 41 cases in each group. The observation group was treated with minimally invasive neuroendoscopic surgery, and the control group was treated with traditional craniotomy under microscope. The incision length, operation time, intraoperative bleeding, bone window area, hospital stay, hematoma clearance rate, postoperative complications and outcome were compared between the two groups. Results The intraoperative bleeding in the observation group was less than that of the control group, the bone window area was smaller than that of the control group, the length of incision, the operation time and hospitalization time were shorter than those of the control group, the clearance rate of hematoma was higher than that of the control group, and the differences were statistically significant (P<0.05). The total complication rate in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The good rate of prognosis in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Minimally invasive neuroendoscopic surgery for hypertensive cerebellar hemorrhage has the advantages of short operation time, high clearance rate of hematoma, less trauma and less bleeding, which is helpful to promote the recovery of nerve function, reduce postoperative complications and improve prognosis.
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