Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (2): 153-156 DOI: 10．16260/j．cnki．1009 －2188．2017．02．018 |
| Clinical Research |
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| Comparison of the Curative Effects of Endoscopic Surgery and Minimally Invasive Puncture in Patients with Hypertensive Intracerebral Hemorrhage |
| SONG Hui-shuang，YAO Wen-juan，LIU Wei，AN Yanchun，ZHANG Huan-li，HUANG Wan-gang，ZHU Hai-wei，LI Jing
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| Central Hospital of China National Petroleum Corporation，Langfang 065000，Hebei，China |
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Abstract Objective To compare the curative effects of endoscopic surgery and minimally invasive puncture in patients with hypertensive intracerebral hemorrhage(HICH)．MethodsNinety-six patients with HICH were randomly divided into the endoscopic group and minimally invasive puncture group(48 for each)and received：endoscopic surgery and minimally invasive puncture respectively．ResultsThe operative duration of the endoscopic group were significantly longer than minimally invasive puncture group(P=0．020)，while no difference was found in intraoperative hemorrhage．The amount of residual hematoma in endoscopic group was significantly lower than that in the minimally invasive group，and the hematoma clearance rate was higher than that of the minimally invasive group(P=0．000)．NIHSS and BI scores of both groups respectively decreased and increased after operation．And NIHSS was higher and BI scores were lower in the minimally invasive puncture group 1 month and 3months after operation．The postoperative intracerebral infection rate was 2．27%in the endoscopic group，and 11．36%of the minimally invasive puncture group ，with no significant difference(P=0．204)．ConclusionThe curative effects of endoscopic surgery for HICH are better than minimally invasive puncture．It is worthy of promotion in clinic．
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Received: 29 December 2016
Published: 25 May 2018
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Corresponding Authors:
SONG Hui-shuang
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| About author:: 宋会双，男，40岁，中国石油天然气集团公司中心医院神经外科主治医师，医学硕士。 |
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