Comparison of the efficacy of neuronavigation-assisted intracerebral haematoma puncture and drainage with neuroendoscopic haematoma removal in the treatment of hypertensive cerebral haemorrhage

Abstract Object: Comparison of neuronavigation-assisted intracerebral haematoma puncture and drainage with neuroendoscopic haematoma removal in the treatment of hypertensive cerebral haemorrhage. Method: Ninety-one patients with hypertensive cerebral haemorrhage admitted to our neurosurgery department from June 2022 to May 2023 were selected, of whom 47 cases underwent endoscopic haematoma removal with the aid of neuronavigation in the observation group A and 44 cases underwent intracerebral haematoma puncture and drainage in the control group B. The duration of surgery, intraoperative bleeding, haematoma clearance rate, pre- and post-operative GCS score, National Institutes of Health Stroke Scale (NIHSS) score, mRS score and post-operative complications were compared between the two groups. Result: 1. The duration of surgery, intraoperative bleeding and haematoma clearance were significantly reduced in Group B compared to Group A (p<0.05). 2. No significant differences were seen in the preoperative, 7 days postoperative, 14 days postoperative and 1-month postoperative GCS scores and NIHSS scores between groups A and B. No significant differences were seen in the post-healing mRS scores between the two groups. 3. The incidence of postoperative complications was significantly higher in group B compared to group A (p<0.05), with the most significant incidence of intracranial infection (p<0.05) Conclusion: Both neuronavigation-assisted intracerebral haematoma puncture and drainage and neuroendoscopic haematoma removal are effective in improving the outcome of patients with hypertensive cerebral haemorrhage. The disadvantage of neuronavigation is that the incidence of complications is significantly higher, and postoperative care and prevention of complications should be strengthened in clinical practice.