Clinical efficacy of contact neuroendoscopic hematoma evacuation in hypertensive intracerebral hemorrhage
Han Liangbo
Wu Jinfeng
Zhang Baoqing
Liu Xuchang
Fu Kun
Abstract：Objective To investigate the clinical efficacy of contact neuroendoscopic hematoma evacuation in hypertensive intracerebral hemorrhage(HICH).Methods The clinical data of 100 surgical patients with HICH were analyzed retrospectively,who were divided into a traditional surgery group(n=50,treated with craniotomy for hematoma evacuation)and a neuroendoscopic group(n=50,treated with contact neuroendoscopic-controlled hematoma evacuation).Perioperative indicators,biochemical markers,neurological function,activities of daily living,prognosis,and postoperative complications were compared between the two groups.Results The neuroendoscopic group had shorter operation time,shorter hospital stay,and less intraoperative blood loss compared to the traditional surgery group,with a higher hematoma evacuation rate.The differences were statistically significant(all P<0.05).Before surgery,there were no significant differences in tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),and neuron-specific enolase(NSE)levels between the two groups(all P>0.05).After treatment,TNF-α and CRP levels increased,while NSE levels decreased in both groups,with the traditional surgery group showing higher levels of TNF-α,CRP,and NSE than the neuroendoscopic group(all P<0.05).Before surgery,there were no significant differences in National Institutes of Health Stroke Scale(NIHSS)and Barthel Index(BI)scores between the two groups(all P>0.05).After treatment,NIHSS scores decreased,and BI scores increased in both groups,with the neuroendoscopic group having lower NIHSS scores and higher BI and Glasgow Outcome Scale(GOS)scores than the traditional surgery group.The differences were statistically significant(all P<0.05).The incidence of postoperative complications in the neuroendoscopic group(2.00%)was lower than that in the traditional surgery group(16.00%),with a statistically significant difference between the groups(P<0.05).Conclusions The treatment of HICH via contact neuroendoscopic hematoma evacuation demonstrates advantages including minimal invasiveness,favorable prognosis,and fewer complications.This approach is safe and effective,embodying the dual advantages of minimally invasive and precise therapy in terms of trauma control and functional recovery for patients.
Keywords：intracranial hemorrhagehypertensiveneuroendoscopycontacthematoma removal
Publication Date：2025-08-20
Online Publishing Date：2025-08-29(First online date of this platform, not the publication date of the document)
Pages：6( 462-467 )