Clinical efficacy of neuroendoscopic surgery and microsurgery via the lateral fissure-insular approach for spontaneous basal ganglia hematomas
TANG Qing-ming
HOU Li-ming
WANG Qi-sheng
LI Hua-guo
Abstract：Objective To compare and analyze the efficacy of neuroendoscopic surgery and microsurgery via the lateral fissure-insular approach for patients with primary basal ganglia hematomas.Methods The clinical data of 100 patients with primary basal ganglia hemorrhage who underwent surgical treatment from January 2020 to May 2023 were retrospectively analyzed.Among them,50 cases were treated with neuroendoscopic surgery(observation group),and 50 cases were treated with microsurgery via the lateral fissure-insular approach(control group).Results There was no statistically significant difference in hematoma evacuation rate between the two groups[(97.0±3.5)%vs.(96.1±3.6)%;P=0.195].However,the operation time of the observation group was significantly shorter than that of the control group[(73.36±14.41)min vs.(87.88±22.47)min;P＜0.001],and the intraoperative blood loss was also significantly less[(31.30±8.62)ml vs.(65.60±13.65)ml;P＜0.001].Before surgery,there was no statistically significant difference in the National Institutes of Health Stroke Scale(NIHSS)score[(18.94±5.45)points]and the modified Rankin Scale(mRS)score[(4.02±0.92)points]of the observation group and those[(17.64±5.60)points and(4.08±0.83)points,respectively]of the control group(P＞0.05).Three months postoperatively,the NIHSS score[(9.92±4.51)points]and the mRS score[(2.28±1.07)points]in the observation group were significantly decreased compared with those preoperatively(P＜0.05),and the NIHSS score[(11.92±4.84)points]and the mRS score[(2.96±0.97)points]in the control group were also significantly decreased compared with those preoperatively(P＜0.05);however,the NIHSS score and the mRS score in the observation group were significantly superior to those in the control group(P＜0.05).Conclusions Both neuroendoscopic surgery and microsurgery via the lateral fissure-insular approach can effectively evacuate hematoma and improve the prognosis of patients with spontaneous basal ganglia hemorrhage,but neuroendoscopic surgery has significant advantages in shortening operation time and reducing intraoperative blood loss.
Keywords：Spontaneous intracerebral hemorrhageBasal ganglia hematomaNeuroendoscopic surgeryMicrosurgeryLateral fissure-insular approachClinical efficacy
Publication Date：2024-11-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 665-669 )