Neuroendoscopic surgery under neuronavigation guidance for hypertensive basal ganglia hemorrhage: frontal appraoch vs. temporal approach
RUAN Hang
YANG Guo-ping
LUO Ming
DUAN Fa-liang
MIN Qiang
ZHANG Yan-guo
Abstract：Objective To explore the clinical effects of neuroendoscopic surgery via frontal approach and temporal approach under neuronavigation guidance on hypertensive basal ganglia hemorrhage (HBGH). Methods The clinical data of 60 patients with HBGH, of whom, 28 underwent neuroendoscopic surgery via frontal approach (frontal group) under neuronavigation guidance and 32 via temporal approach (temporal group) from January, 2011 to June, 2016, were analyzed retrospectively. Results There was no significant difference in the operation duration between both the frontal group [(83±27) min] and temporal group [(81±30) min] (P>0.05). The rate of hematoma evacuation and good prognosis were significantly higher in frontal group [(88 ± 11)％ and 67.8％ respectively] than those in temporal group [(79 ± 19)％and 40.63％respectively] (P<0.05). Conclusions The rate of hematoma evacuation can be enhanced and the prognosis can be improved by neuroendoscopic surgery via the frontal approach under neuronavigation guidance in the patients with HBGH 3 months after the operation.
Keywords：Hypertensive cerebral hemorrhageBasal gangliaSurgeryNeuroendoscopyNeuronavigationFrontal approachTemporal approach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 693-694,697 )