Short-term effect and long-term prognosis of neuroendoscopic minimally invasive surgery for hypertensive int-racerebral hemorrhage

作     者：Jian-Hui Wei Ya-Nan Tian Ya-Zhao Zhang Xue-Jing Wang Hong Guo Jian-Hui Mao 

作者机构：Department of NeurosurgeryHarrison International Peace HospitalHengshui 053000Hebei ProvinceChina Department of NeurologyHarrison International Peace HospitalHengshui 053000Hebei ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第28期

页      面：8358-8365页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Neuroendoscopic minimally invasive surgery Hard-channel minimally invasive puncture drainage Hypertensive intracerebral hemorrhage Prognosis Hematoma clearance 

摘      要：BACKGROUND Hypertensive intracerebral hemorrhage is a common critical disease of the nervous system,comprising one fifth of all acute cerebrovascular diseases and has a high disability and mortality *** severely affects the patients’quality of *** To analyze the short-term effect and long-term prognosis of neuroendoscopic minimally invasive surgery for hypertensive intracerebral *** From March 2018 to May 2020,118 patients with hypertensive intracerebral hemorrhage were enrolled in our study and divided into a control group and observation group according to the surgical *** control group used a hard-channel minimally invasive puncture and drainage *** observation group underwent minimally invasive neuroendoscopic *** changes in the levels of serum P substances(SP),inflammatory factors[tumor necrosis factor-α,interleukin-6(IL-6),IL-10],and the National Hospital Stroke Scale(NIHSS)and Barthel index scores were *** related indicators and prognosis were compared between the two *** The operation time(105.26±28.35)of the observation group was min longer than that of the control group,and the volume of intraoperative bleeding was 45.36±10.17 mL more than that of the control *** hematoma clearance rates were 88.58%±4.69%and 94.47%±4.02%higher than those of the control group at 48 h and 72 h,*** prognosis rate(86.44%)was higher in the observation group than in the control group,and complication rate(5.08%)was not significantly different from that of the control group(P0.05).The SP level and Barthel index score of the two groups increased(P0.05)and the inflam-matory factors and NIHSS score decreased(P0.05).The cytokine levels,NIHSS score,and Barthel index score were better in the observation group than in the control group(P0.05).CONCLUSION Neuroendoscopic minimally invasive surgery is more complicated than hard channel minimally invasive puncture drainage in the treatment of hype