Neuroendoscopic hematoma removal and small bone window craniotomy for hypertensive intracerebral hemorrhage / 中华老年心脑血管病杂志

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.