Advances in neuroendoscopic surgery for hypertensive intracerebral hemorrhage
SHI Shuang1 ZHANG Biao1 YANG Gang2 ZHANG Zhengbao1 YANG Biao1 NIU Wenyong1 DENG Wei1 QIN Chuan1
1.Department of Neurosurgery, Dazu District People′s Hospital in Chongqing City, Chongqing 402360, China;
2.Department of Neurosurgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Abstract：Hypertensive intracerebral hemorrhage is the most common subtype of stroke with high mortality and disability. Its prognosis is closely related to the age, location, volume, speed of bleeding, timing of operation, mode of operation and whether or not to take anticoagulants orally. On the premise of strictly grasping the indications and timing of operation, compared with local anesthesia minimally invasive puncture plus urokinase lysis (including stereotactic, CT-guided hard and soft channel puncture) and craniotomy microhematoma removal surgery, neuroendoscopic hematoma removal surgery not only reduces further trauma to brain tissue, but also can More thorough removal of intracerebral hematoma and hemostasis, with more minimally invasive, better efficacy advantages. At present, the assistant means of neuroendoscopy in the surgical treatment of hypertensive intracerebral hemorrhage include CT guidance, stereotactic guidance, B-ultrasound assistance, neuronavigation assistance and mobile phone software assistance. The use of various assistant means makes the neuroendoscopy more accurate in locating the hematoma, reduces the trauma to brain tissue and improves the prognosis of patients. This paper summarizes the assistant methods and their respective operative methods and characteristics of neuroendoscopy in the treatment of hypertensive intracerebral hemorrhage.
2019, Vol. 16 
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