Neuroendoscopy Control Study Of Stereotactic Hematoma Aspirationin The Treatment Of Hypertensive Basal Ganglia Hemorrhage

Objective:By comparing forehead stereotactic-guided keyhole approach neuroendoscope evacuation of hematoma with traditional stereotactic hematoma aspiration differences in the treatment of moderate hypertensive basal ganglia hemorrhage, two minimally invasive surgical approach to explore the advantages and disadvantages, to provide a reference for clinicians to choose a reasonable surgical approach.Method:Collection of qualifying The First Affiliated Hospital of Shanxi Medical University Endoscopic Neurosurgery HBGH patients treated from December2012to June2013of15cases for the study, all patients were under general anesthesia forehead stereotactic-guided keyhole approach neuroendoscope evacuation of hematoma, this group is named endoscopic group. Collected during the same period, The First Affiliated Hospital of Shanxi Medical University, qualified neurosurgeon directed HBGH15patients treated control group, all patients were under local anesthesia stereotactic hematoma aspiration, this group is named oriented groups. Two groups of patients for preoperative baseline indicators such as:gender, age, preoperative hematoma volume, preoperative GCS score, time of onset to surgery were compared, to ensure data comparability. Two groups of patients operative time, postoperative day1hematoma rate, postoperati-ve rebleeding rate, complication rate, mortality rate within one month, after six months GOS score for comparison. Statistical analysis of the data analysis preclude treatment with SPSS18.0statistical package. Qualitative data using fisher exact test, quantitative data were completely randomized design two-sample t test. When p<0.05considered statistically significant. Results:Two groups of patients with similar baseline indicators, between the two groups in gender, age, preoperative hematoma volume, preoperative GCS score, time of onset to surgery was no significant difference (p>0.05), compared with orientation groups, endoscopic group high rate of postoperative day1hematoma rate, low rate of postoperative bleeding, after6months GOS high score (efficiency), the difference was statistically significant (p<0.05); orientation groups operation time is short, the difference was statistically significant (p<0.05);comparable. The incidence of postoperative complications, the mortality rate in one month was lower in endoscopic group than orientation group, the difference was not statistically significant (p>0.05).Conclusion:Two kinds of surgical treatment of moderate hypertensive basal ganglia hemorrhage are safe and effective. Forehead stereotactic-guided keyhole approach neuroendoscope evacuation of hematoma with minimally invasive, clean and remove the hematoma under direct vision, pstoperative rebleeding low and help improve patient outcomes, etc., worth in the treatment of moderate hypertension basal ganglia hemorrhage promotion.