Effects of the neural endoscopic minimally invasive surgery on complications and life quality of patients with hypertensive cerebral hemorrhage
SONG Bo
LEI Lei
Abstract：Objective To investigate the effects of the neural endoscopic minimally invasive surgery on complications and life quality of patients with hypertensive cerebral hemorrhage.Methods One hundred patients with hypertensive cerebral hemorrhage who were admitted and treated in our hospital from December 2012 to December 2016 were enrolled in the study. According to random number table,these patients were divided into endoscope group and craniotomy group, with 50 patients in each group.The patients in craniotomy group were treated by conventional craniotomy with small bone window to remove hematoma,however,the patients in endoscopy group were treated by neural endoscopic minimally invasive surgery to remove hematoma,with 6-month follow up for both groups. The nerve function of patients was assessed by national institutes of health stroke scale (NIHSS) scores,and the serum levels of endothelin (ET),C-reactive protein (CRP) and interleukin-6 (IL-6) were detected by enzyme-linked immunosorbent (ELISA),the life quality was evaluated by daily life ability scale (ADL), moreover,the intraoperative bleeding volume, surgical duration, postoperative ICU stay time, complications, death rate, neural function before and after treatment,serum levels of ET,CRP,IL-6,life quality before treatment and on 1m,3m,6m after treatment were statistically analyzed and compared between two groups.Results The effective rate in endoscope group was significantly higher than that in craniotomy group,and the NIHSS scores after treatment in the former were significantly lower than those in the latter (P <0.05). The serum levels of ET, CRP, IL-6 after treatment in endoscope group were significantly lower than those in craniotomy group (P <0. 05). The intraoperative bleeding volume, surgical duration, postoperative ICU stay time in endoscope group were significantly less than those in craniotomy group,and the hematoma clearance rate in the former was significantly higher than that in the latter(P<0.05). The incidence rates of complications in endoscope group were significantly lower than those in craniotomy group (P <0.05), however, there was no significant difference in death rate between two groups(P>0.05). The ADL scores on 1m,3m,6m after treatment in endoscope group were significantly higher than those in craniotomy group (P<0.05).Conclusion The neural endoscopic minimally invasive surgical treatment can effectively decrease the surgical trauma of patients with hypertensive cerebral hemorrhage and improve the effects of hematoma clearance,which can effectively improve the nerve function and endothelial function of patients,and relieve inflammation status,which is beneficial for body rehabilitation of patients, moreover,which can effectively reduce the risk of incidence of complications,and effectively improve life quality of patients,therefor,which is worth using widely in clinical practice.
Keywords：neural endoscopic minimally invasive surgeryhypertensive cerebral hemorrhageneurological functioncomplicationsquality of life
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 489-493 )