Keyhole endoscopic evacuation of basal ganglia hemorrhage
ZHU Hongwei
LIU Xiyao
TAN Guowei
MA Yonghui
WANG Zhanxiang
Abstract：Objective The chnical outcomes of keyhole endoscopy surgery and craniotomy for basal ganglia FHLCH were discussed.Methods The chnical data of 28 cases undergoing keyhole endoscopic surgery and 30 cases udnergoing craniotomy were analyzed retrospectively.Hematoma evacuation rate,infection rate,rebleeding rate and mean operation time were recorded as primary end points.Glasgow outcome scale (GOS) were recorded 3 months after operation.Results The evacuation rate in craniotomy group was significantly higher than that of the endoscopy group (92.1％ t3.9％ vs 86.5％ ±9.1％,t =3.007,P =0.004),and the mean operation time in the endoscopy group was significantly less than that of the craniotomy group (138 min ±15 min vs 232 min ± 16 min,t =-23.041,P =0.000).The infection rate was lower in the endoscopy group compared with the craniotomy group (21.4％ vs 50.0％,x2 =5.119,P=O.024),and there was no significant difference in GOS between two groups after 3 months (Z =-1.754,P =0.079).Conclusion The data indicate that keyhole endoscopic surgery is safe and feasible for the patients with ICH.
Keywords：Hypertensive intracerebral hemorrhageKeyholeNeuroendoscopyMinimally invasive surgery
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：4( 305-308 )