Abstract：Objective Analysis of endoscope assisted sheath in hypertensive intracerebral hemorrhage（HICH）the application of brain hematoma removal. Methods A study was conducted on 89 patients with hypertensive intracerebral hemorrhage .The patients were divided into two groups based on whether a new adjustable neuroendoscope-assisted sheath was used during the hematoma clearance surgery：the sheath group（n=47）and the non-sheath group（n=42）.The study aimed to compare the surgical conditions,clinical indicators,complications,and prognosis of the two groups. Results The surgical time and intraoperative blood loss of the sheath group were less than those of the non-sheath group,and the hematoma clearance rate was significantly higher than that of the non-sheath group（P<0.05）.Compared with before the surgery,the sepsis organ function failure score（SOFA）,the Acute Physiology and Chronic Health Evaluation Ⅱ（APACHE-Ⅱ）,and the National Institutes of Health Stroke Scale（NIHSS）score of both groups significantly decreased after the surgery,and the scores in the sheath group were lower than those in the non-sheath group（P<0.05）.The incidence of intracranial infection,epilepsy,pulmonary infection,and stress ulcers in the sheath group was significantly lower than that in the non-sheath group（P<0.05）.The prognoses of patients in the sheath group with grades Ⅱ-V were 3,9,21,and 14,respectively,while those in the non-sheath group were 11,15,11,and 5,respectively.The difference between the two groups in prognosis was statistically significant（P<0.05）. Conclusion The clinical practical value of the new adjustable neuroendoscopic-assisted sheath in the treatment of HICH intracerebral hematoma clearance surgery is high,which can expand the clinical application range and improve the clinical surgical treatment efficiency.
杜战锋, 王茂德, 姜海涛, 王拓, 李琦. 内镜辅助鞘在高血压脑出血脑内血肿清除术中的应用[J]. 哈尔滨医药, 2024, 44(3): 32-35.
Du Zhanfeng, Wang Maode, Jiang Haitao, Wang Tuo, Li Qi. Endoscopy Assisted Sheath in the Application of Hypertension Cerebral Hemorrhage Brain Hematoma Removal. journal1, 2024, 44(3): 32-35.
2024, Vol. 44 
