Comparison of the effects of neuroendoscopic minimally invasive surgery and small bone window craniotomy for supratentorial hemorrhage≤50 mL
LIU Ruixiao
WANG Cheng
FENG Guoqiang
ZHANG Yanli
LI Yan
ZOU Wenli
LIU Zhifei
SHAN Biao
Abstract：Objective To compare the efficacy of neuroendoscopic minimally invasive surgery and small bone window craniotomy for supratentorial hemorrhage≤50 mL.Methods A retrospective selection was made of 136 patients with supratentorial intracerebral hemorrhage with a hematoma volume of≤50 mL from June 2022 to August 2024.They were divided into the neuroendoscopy group(n=75)and the craniotomy group(n=61)according to the different surgical methods in the data.The neuroendoscopy group underwent neuroendoscopic minimally invasive surgery,while the craniotomy group underwent small bone window craniotomy.The surgical-related indicators,treatment effects(GOS),neurological functions(NFDS),quality of life(ADL,WHOQOL-BREF),and postoperative complications were analyzed.Results The operation time,catheterization time,and hospital stay of the neuroendoscopy group were significantly shorter,and the hematoma clearance rate was higher compared with craniotomy group(P<0.05).The effective rate of the neuroendoscopy group was 84.00%(63/75),higher than that of the craniotomy group(65.57%,40/61)(P<0.05).For the comparison of NFDS scores between the two groups before operation,1 month after operation and 3 months after operation,the time effect,group effect,and the interaction effect between time and group were all statistically significant(P<0.001);After 1,3 months of operation,the NFDS scores of both groups were decreased,and the NFDS score in neuroendoscopy group was lower(P<0.05).For the comparison of ADL and WHOQOL-BREF scores between the two groups before operation and 3 months after operation,the time effect,group effect,and the interaction effect between time and group were all statistically significant(P<0.001);After 3 months of operation,the ADL scores and WHOQOL-BREF scores of both groups were higher than those before the operation,and the ADL scores and WHOQOL-BREF scores in neuroendoscopy group were higher(P<0.05).The total rate of postoperative complications in neuroendoscopy group(8.00%)was lower compared with craniotomy group(27.87%)(χ2=9.451,P=0.002).Conclusions Neuroendoscopic minimally invasive surgery has definite efficacy for supratentorial hemorrhage≤50 mL compared with small bone window craniotomy,with the advantages of rapidity,fewer complications,and faster recovery.It can better improve the neurological deficits and quality of life of the patients.
Keywords：neuroendoscopic surgerysmall bone window craniotomysupratentorial hemorrhageclinical efficacy
Publication Date：2026-01-28
Online Publishing Date：2026-01-17(First online date of this platform, not the publication date of the document)
Pages：5( 52-56 )