Effects of Neuroendoscopic Minimally Invasive Surgery Assisted with Tissue Expander on Neurocognitive Function and Prognosis of Patients with Hy-pertensive Intracerebral Hemorrhage of Basal Ganglia
WANG Hongtao
DING Ling
SUN Qinglong
LIANG Shaodong
Abstract：Objective To explore the effects of neuroendoscopic minimally invasive surgery assisted with tissue ex-pander on neurocognitive function and prognosis of patients with hypertensive intracerebral hemorrhage(HICH)of basal gan-glia.Methods According to random number table method,82 patients with HICH of basal ganglia admitted between Septem-ber 2020 and June 2023 were divided into observation group(n=41)and control group(n=41).The control group was treated with traditional craniotomy evacuation of hematoma,while the observation group was treated with neuroendoscopic mini-mally invasive surgery assisted with tissue expander.The perioperative indexes,evacuation of hematoma,scores of neurologi-cal function and cognitive function at 3 months after surgery,incidence of complications,grading of Glasgow outcome scale(GOS)score and good prognosis rate at 6 months after surgery were compared between the two groups.Results Compared with control group,incision length was shorter in observation group,intraoperative blood loss and bone window area were lower or smaller,and the duration of operation and length of hospitalization were shorter(P＜0.05).After surgery,residual hema-toma volume in observation group was less than that in control group,and hematoma clearance rate was higher than that in con-trol group(P＜0.01).At 3 months after surgery,score of National Institutes of Health Stroke Scale in observation group was lower than that in control group,and scores of the Lovington Cognitive Function Assessment and Activities of Daily Living Scale were higher than those in control group(P＜0.05,P＜0.01).The total incidence of postoperative complications in ob-servation group was lower than that in control group[4.88%(2/41)vs.19.51%(8/41),P＜0.05].After 6 months of postoperative follow-up,there were significant differences in grading of GOS scores between the two groups(P＜0.01).The good prognosis rate in observation group was higher than that in control group[85.36%(35/41)vs.65.85%(27/41),P＜0.05].Conclusion Compared with traditional craniotomy evacuation of hematoma,neuroendoscopic surgery assisted with tissue expander has better neurocognitive function and prognosis in patients with HICH of basal ganglia.
Keywords：Intracerebral hemorrhagehypertensiveNeuroendoscopic surgeryTissue expanderGlasgow outcome scaleLoewenstein occupational therapy cognitive assessmentPostoperative complication
Publication Date：2025-03-29
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 68-72 )