摘要
Abstract
Objective To compare and analyze the clinical effects of microscopic craniotomy hematoma removal and neuroendoscopy-assisted hematoma removal in the treatment of patients with cerebellar hemorrhage.Methods A total of 120 patients with cerebellar hemorrhage admitted to our hospital from October 2022 to May 2024 were selected as the research subjects.Based on the different surgical treatment methods,all cases were divided into the microscope group(n=58)and the neuroendoscopy group(n=62).The microscope group was treated with microscopic craniotomy hematoma removal,while the neuroendoscopy group was treated with neuroendoscopy-assisted hematoma removal.The surgical-related indicators,hematoma volume,hematoma clearance rate,immune function indicators,postoperative complications,and prognosis were compared between the two groups.Results The intraoperative blood loss of the neuroendoscopy group was less than that of the microscope group,the incision length and bone window area were smaller than those of the microscope group,and the operation time and hospitalization time were shorter than those of the microscope group(P<0.05).At 7 d after surgery,the hematoma volumes in both groups were lower than those before surgery(P<0.05);The hematoma volume at 7 d after surgery in the neuroendoscopy group was lower than that in the microscope group,and the hematoma clearance rate was higher than that in the microscope group(P<0.05).At 7 d after surgery,the levels of serum IgA,IgG,and IgM in both groups were lower than those before surgery,while the levels of serum IgA,IgG,and IgM in the neuroendoscopy group were higher than those in the microscope group(P<0.05).The incidence of postoperative complications in the neuroendoscopy group was 4.84%,lower than the 18.97%in the microscope group(P<0.05);No statistically significant difference was found in the prognosis GOS score between the two groups(P>0.05).Conclusions Compared with microscopic craniotomy hematoma removal,neuroendoscopy-assisted hematoma removal can significantly improve the hematoma removal rate of patients with cerebellar hemorrhage,optimize the quality of surgery and rehabilitation,and reduce the adverse impact on patients'immune indicators and the occurrence risk of complications.关键词
小脑出血/显微镜下开颅血肿清除术/神经内镜辅助下血肿清除术/免疫功能/并发症/预后Key words
Cerebellar hemorrhage/Microscopic craniotomy hematoma removal/Neuroendoscopy-assisted hematoma removal/Im-mune function/Complication/Prognosis分类
医药卫生
