A Comparison Study Of Endoscopic Surgery Versus Craniotomy In Management Of Hypertensive Intracerebral Hemorrhage

Objective To evaluate endoscopic surgery of hypertensive intracerebra l hemorrhage(HICH) comparing with craniotomy. Through the comparison of the two differentoperative methods, provide the basis for clinical choice better operation method, so as toimprove the prognosis of patients, improve the patient’s clinical curative effectMethods To collect Yan,an university affiliated hospital neurosurgery inJanuary2012-January2014，76cases of patients with HICH，According to the differentways of operation, random divided into neural endoscopic minimally invasive treatmentgroup and invasive hematoma removal surgery, and collect the patient’s age, sex,respectively after operation time, hematoma volume before onset，GCS score, operationtime, intraoperative blood loss and postoperative follow-up of patients ADL prognosisevaluation of clinical data in March. SPSS17.0to compare two groups of patients afterage, sex, operation time, premorbid hematoma volume, GCS score, operation time,intraoperative blood loss, hematoma clearance and ADL prognosis evaluation differencecomparing surgical curative effect analysis.Results Neuralendoscopic minimally invasive group and invasive hematoma removal ofboth from operation time after age, sex, GCS score, hematoma volume before, had nosignificant statistical difference (P>0.05). The operation time, intraoperative blood loss,hematoma clearance and ADL prognosis evaluation have significant statisticalsignificance (P <0.05), neural endoscopic minimally invasive group the prognosis of patients with superior to craniotomy hematoma removal.Conclusion Neural endoscopic removal of intracranial hematoma craniotomy treatmentof hypertensive cerebral hemorrhage, in contrast, is a more minimally invasive, highcurative effect, fast, and the advantages of less bleeding surgical method.