CLINICAL EFFECT OF CRANIOTOMY UNDER MICROSCOPE ON HYPERTENSIVE CEREBRAL HAEMORRHAGE

Hong Xiao¹, Qin Yang¹, Ming Cheng^{2, *}

¹Department of Neurosurgery, The First People's Hospital of Liangjiang New Area, Chongqing 401121, Chongqing, China - ²Department of Ophthalmology, Chongqing Youyoubaobei Women’and Children's Hospital, Chongqing 401122, Chongqing, China

Objective: This paper discusses the clinical effect of craniotomy haematoma removal under a microscope in patients with hypertensive cerebral haemorrhage.

Method: The clinical effect of craniotomy carried out under a microscope on patients with hypertensive cerebral haemorrhage was analysed. By operating under a microscope, the clinical effect and mortality have been significantly improved.

Results: The mean time of operation in the endoscopic operation group was 203.6±32.1 minutes, and that of the craniotomy group was 140.1±41 minutes (P<0.05). However, there was no significant difference in the rate of removal of direct swelling or in the improvement of Glasgow Coma Scale score or mortality. In recent years, with the progress of microscopy equipment and endoscopic operation technology, an increasing number of surgeons have begun to use microscopes in the treatment of supratentorial hypertensive haemorrhage. Most related findings are similar to the results of this study. The microscope-assisted technology has become widely used. When applying craniometry under a microscope, the treatment rate of hypertensive patients with cerebral haemorrhage increased by 19%.

Conclusion: The limitations of research related to the surgical approach were analysed, discussed and summarised, thereby increasing our understanding of this type of treatment option.