Analysis of the Effect of Neuroendoscopic Contrast Microscope on the Operation of Acute Cerebral Hemorrhage into the Ventricles

  • Qifeng Chen
Keywords: Neuroendoscopy, Microscope, Acute Cerebral Hemorrhage, Hematoma of Brain Parenchyma

Abstract

To analyze the surgical methods of neuroendoscopy and microsurgery to break into the ventricles of the brain,
and to compare the effect of hematoma clearance in the treatment of acute cerebral hemorrhage, and to choose
the best method. From March 2017 to March 2020, 100 patients who received cerebral hemorrhage combined
with cerebral hemorrhage were randomly divided into two groups. Among them, 50 patients were treated with
microscopical removal of hematoma in brain parenchyma combined with intraventricular drilling and drainage.
These 50 patients were the control group; fifty patients were treated by endoscopic assisted removal of
hematoma in the brain chamber and parenchyma, combined with catheterization and drainage. The operation
time, CSF drainage time, Glasgow Coma Score (GCS score) 7 days after operation, and the specific intracranial
infection were compared between the two groups, and follow-up observation was carried out to compare the
brain parenchyma and the elimination effect of ventricular hematoma at 1, 3 and 7 days after operation. The
Glasgow Coma Score of the patients in the observation group was (10.26 ± 2.16) after 7 days of operation.
Compared with the Glasgow Coma Score of the patients in the control group (7.99 ± 2.13), the score of the
observation group was significantly higher than that of the control group, and the data difference between the
two groups was statistically significant (P < 0.05); The intracranial infection of the patients in the observation
group was 0, which was significantly different from that in the control group, and the data difference between
the two groups was statistically significant (P < 0.05); the time of the patients in the observation group after the
operation was (3.97 ± 1.83) days, which was significantly lower than that of the patients in the control group
(6.96 ± 1.71) days, and the data of the two groups were statistically significant (P < 0.05); The clearance rate of
the patients in the observation group was (58.85 ± 9.40)%, (70.07 ± 10.83)%, (83.18 ± 8.64)%, which was
significantly better than that in the control group (25.17 ± 9.62)%, (50.35 ± 10.59)%, (65.09 ± 8.52)%, and the
difference between the two groups was statistically significant (P < 0.05); However, within one day, three days
and seven days after the operation, there was no significant difference between the two groups (P > 0.05). At the
present stage, clinical use in the treatment of acute intracerebral hemorrhage into the ventricles of surgery, the
use of neuroendoscopy for treatment can effectively improve the treatment effect, and the removal effect of
ventricular hematoma of patients is better and effective, greatly reducing the time of CSF drainage of patients
after surgery, and reducing the probability of intracranial infection of patients.

Published
2020-05-01