Endoscopic Surgery versus Minimal Puncture Drainage Surgery for Treatment of Supratentorial Intracerebral Hemorrhage

Özet

AIM: To compare neuroendoscopy versus minimal puncture drainage for surgical treatment of supratentorial hypertensiveintracerebral hemorrhage.MATERIAL and METHODS: A total of 108 cases involving supratentorial intracerebral hemorrhage were retrospectively analyzed. In30 cases, endoscopic surgery was performed, while 78 cases involved puncture surgery. We compared hematoma clearance rate,postoperative rebleeding rate, incidence of postoperative complications, operation duration, and Glasgow coma score seven daysafter surgery. Clinical data such as early postoperative rehabilitation time, Glasgow outcome score three months after surgery, andintensive care unit (ICU) stay were also compared between the two groups.RESULTS: The results showed that endoscopic surgery was associated with a superior clinical therapeutic effect in hematomaclearance rates, GCS scores on postoperative day 7, the average ICU stay, early postoperative rehabilitation time and intracranialinfection outcomes than minimal puncture drainage surgery for the treatment of supratentorial intracerebral hemorrhage (p 0.05).CONCLUSION: Endoscopic surgery potentially represents a beneficial surgical procedure for treatment of supratentorialspontaneous intracerebral hemorrhage