Abstract：Objective: To investigate the clinical effects of neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach. Methods: 86 patients with hypertensive intracerebral hemorrhage (HICH) in our hospital from June 2015 to March 2017 were selected, and they were divided into two groups by random number table, 43 cases in each. Control group was given routine stereotactic vacuation of hematoma, observation group was given neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach. The surgical indexes, surgical effects, rebleeding rate, fatality rate and the incidence of complications of two groups were compared. Results: The surgical indexes of observation group were significantly better than those of control group, and the total surgical effective rate was significantly higher than control group, the rebleeding rate, fatality rate and the incidence of complications were significantly lower than control group (P<0.05). Conclusion: Neuroendoscopic evacuation of hematoma via CT-guided coronal suture anterior approach can effectively shorten surgery time and recovery time of hemiplegia, protect normal brain tissues, decrease surgical risks, reduce complications and death.
[1] Manuel,Cappellari C, Zivelonghi G,et al.The etiologic subtype of intracerebral hemorrhage may influence the risk of significant hematoma expansion[J].Journal,2015,359(1-2):293~297. [2] Pingbo, Wei C, You H,et al.Correlation between serum IL-1beta levels and cerebral edema extent in a hypertensive intracerebral hemorrhage rat model[J].Neurol Res,2014,36(2):170~175. [3] Xia, Wang H, Arima E, et al. Magnitude of blood pressure reduction and clinical outcomes in acute intracerebral hemorrhage: intensive blood pressure reduction in acute cerebral hemorrhage trial study[J].Hypertension,2015,65(5):1026~1032. [4] T, Chen G, Xu D,et al.Effects of platelet infusion, anticoagulant and other risk factors on the rehaemorrhagia after surgery of hypertensive cerebral hemorrhage[J].Eur Rev Med Pharmacol Sci,2015,19(5):795~799. [5] Dar, Dowlatshahi J K, Wasserman F,et al.Evolution of computed tomography angiography spot sign is consistent with a site of active hemorrhage in acute intracerebral hemorrhage[J].Stroke,2014,45(1):277~280. [6] R, Gondar A, Rogers S,et al.Subdural hematoma after endoscopic third ventriculostomy: Struggling against the Laplace law[J].Neurochirurgie,2015,61(5):347~351. [7] Kimihiko,Yokosuka M, Uno K, et al.Endoscopic hematoma evacuation for acute and subacute subdural hematoma in elderly patients[J].Neurosurg,2015,123(4):1065~1069. [8] 梁阿铭,韩义娜,张辉,等.立体定向技术在大脑半球出血手术中的应用研究[J].中风与神经疾病杂志,2015,32(8):743~744.
2018, Vol. 24 
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