关键词: 神经内镜, 传统开颅, 基底节脑出血

Abstract: ［Abstract］ Objective To study the treatment of basal ganglia by neuro?endoscopic hematoma removal and traditional craniotomy hematoma removalin the clinical effect difference of cerebral hemorrhage. Methods The patients with basal ganglia hemorrhage admitted to our department on January 1， 2017 and August 31， 2018 were selected as the research objects. The patients were divided into the craniotomy group and the endoscopic group based on the tension?matching principle， with 49 cases and 53 cases respectively， to ensure the comparability of the two groups of patients′ conditions. Traditional craniotomy hematoma clearance was performed in the craniotomy group， and complete endoscopic hematoma clearance was performed in the endoscopic group. Then， intraoperative and postoperative information， postoperative complications， and clinical prognosis of the two groups of patients were compared to evaluate the advantages and disadvantages of the two surgical methods. Results There were no statistically significant differences in operative time， hematoma clearance rate and rebleeding incidence between the endoscopic group and the craniotomy group （P>0.05）， but the intraoperative blood loss was lesser， and the GCS score of the endoscopic group was higher than that of the craniotomy group at 2 week and 3 month after surgery， with statistically significant differences （P<0.05）. There were no statistically significant differences between the two groups in postoperative pulmonary infection， urinary tract infection， venous thrombosis， gastrointestinal bleeding， intraoperative oral infection and postoperative epilepsy （P>0.05）， but the incidence of postoperative cerebral edema was lower in the endoscopic group than in the craniotomy group （P<0.05）. The GOS score and ADL score of the endoscopic group were both higher than those of the craniotomy group at 3 months postoperatively， and the difference was statistically significant （P<0.05）. Conclusion Endoscopic hematoma removal is superior to traditional hematoma removal in the surgical treatment of basal ganglia hemorrhage.

Key words: endoscopy, traditional craniotomy, basal ganglia hemorrhage