Clinical application of ultrasound-assisted novel portable contact endoscopic direct visualization technique for supratentorial hypertensive intracerebral hemorrhage
GAO Yue
MA Xiangke
WANG Xin
Abstract：Objective To evaluate the clinical value of ultrasound-assisted novel portable contact endoscope-guided direct visualization technology in the treatment of supratentorial hypertensive intracerebral hemorrhage(HICH).Methods Clinical data of 271 patients with supratentorial HICH were analyzed retrospectively.According to the surgical method,patients were divided into an observation group(152 cases,treated with ultrasound-assisted novel portable contact endoscope-guided direct visualization technology)and a control group(119 cases,treated with traditional neuroendoscopic intracerebral hematoma evacuation).Baseline data,core surgical indicators(hematoma evacuation rate,operation time,success rate of single hematoma puncture,intraoperative blood loss),the incidence of surgery-related complications,and functional prognosis at 6 months after surgery[modified Rankin scale(mRS),Barthel index(BI),and National Institute of Health Stroke Scale(NIHSS)]were compared between the two groups.Results There were no statistically significant differences in age,gender,hematoma location,and initial hematoma volume between the two groups(all P>0.05).The observation group showed significantly better results than the control group in terms of hematoma evacuation rate[(95.2±3.2)%vs.(86.4±12.1)%],operation time[(1.8±0.7)h vs.(2.4±0.6)h],intraoperative blood loss[(46.4±12.2)mL vs.(66.4±14.3)mL],success rate of single puncture for hematoma(96.7%vs.76.5%),and drainage tube indwelling rate(41.4%vs.47.1%)(all P<0.05).The overall incidence of surgery-related complications in the observation group was lower than that in the control group(18.4%vs.24.4%),with significantly reduced rates of rebleeding(5.9%vs.10.9%)and severe pulmonary infection(0 vs.1.68%)(all P<0.05).The surgery-related mortality rate within 30 days was 3.4%(4/119)in the control group,while there were no surgery-related deaths in the observation group,with a statistically significant difference between the two groups(P=0.031).In terms of functional prognosis at 6 months after surgery,the proportion of patients with favorable functional outcome in the observation group was significantly higher than that in the control group(74.7%vs.67.2%),and the BI score was slightly higher in the observation group[(58.5±7.2)points vs.(55.7±6.8)points],with statistically significant differences(all P<0.05);there was no statistically significant difference in NIHSS scores between the two groups[(11.2±4.2)points vs.(13.2±3.1)points,P=0.154].Conclusions Ultrasound-assisted novel portable contact endoscope-guided direct visualization technology in the treatment of supratentorial HICH offers advantages such as a high hematoma evacuation rate,short operation time,minimal intraoperative trauma,high puncture accuracy,and a low incidence of complications.It can significantly improve patients'functional prognosis and is a safe and effective minimally invasive treatment option,thus being worthy of clinical promotion and application.
Keywords：intracranial hemorrhagehypertensivesupratentorialendoscopic hematoma evacuationultrasound assistancewhole-process visualization
Publication Date：2025-11-20
Online Publishing Date：2026-01-04(First online date of this platform, not the publication date of the document)
Pages：7( 667-673 )