Comparision of curative effect of augmented reality assisted neuroendosope and small bone window craniotomy for hypertensive cerebral hemorrhage

Abstract

Objective To compare the efficacy of augmented reality assisted neuroendoscope of evacuation of hematoma and small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage. Methods From July 2016 to December 2017, 82 patients with hypertensive cerebral hemorrhage were treated with small bone window craniotomy (41 cases) or augmented reality assisted neuroendoscopic surgery (41 cases) of evacuation of hematoma. The operation time, intraoperative blood loss, hematomas clearance rate and hospitalization time, as well as the incidence of postoperative rebleeding, intracranial infection, pulmonary infection, gastrointestinal bleeding and other complications, and Glasgow Outcome Scale (GOS) were recorded to evaluate prognosis of the 2 groups. Results Compared with the small bone window craniotomy group, in the neuroendoscopic group, the operation time [(72.66 ± 5.21) min vs. (137.51 ± 6.25) min; t = -51.065, P = 0.000], the hospitalization time [(12.21 ± 1.81) d vs. (13.12 ± 1.41) d; t = -4.035, P = 0.035] shortened, intraoperative blood loss decreased [(91.88 ± 8.89) ml vs. (400.24 ± 36.57) ml; t = -52.464, P = 0.000], hematoma clearance rate increased [(98.29 ± 1.37)% vs. (72.83 ± 9.37)%; t = -17.224, P = 0.002], and prognosis was better at 6 months after operation (Z = -3.303, P = 0.001). The complication rate was no significant difference between the 2 groups [12.20% (5/41) vs.26.83% (11/41); χ2 = 2.795, P = 0.095]. Conclusions Augmented reality assisted neuroendoscope of evacuation of hematoma is superior than small bone window craniotomy.

DOI:10.3969/j.issn.1672-6731.2019.09.009