Clinical Study on the Application of Surgical Microscope in the Treatment of Patients with Cerebral Hemorrhage

• Published in: Investigación clínica 2020-09, Vol.61 (3), p.1314
• Main Authors: Chi, Nan, Sun, Xiaoling, Zhang, Hongtao, Zou, Peng, He, Qiaowei, Xiu, Chunming, Wang, Yunbo
• Format: Article
• Language: English
• ISSN: 0535-5133

In recent years, hypertensive cerebral hemorrhage has seriously endangered people's lives and health due to high morbidity, high mortality, disability, and high relapse rate. Hematoma's space- occupying effect and various toxic substances released by hematoma decomposition cause nerve damage, which are recognized as the main pathological and pathophysiology mechanisms leading to clinical symptoms. Therefore, early removal of intracerebral hematomas can improve the prognosis of patients. Although there are many studies on lesion surgery in patients with cerebral hemorrhage, the results are still insufficient. In this paper, neurosurgery microscope is used to determine the degree of cortical spinal cord injury and prognosis of hemorrhagic stroke. In this study, patients with hypertensive intracerebral hemorrhage were used as the main research object. Neurosurgery microscope was used to evaluate the degree and extent of damage to the corticospinal tract of patients with basal ganglia cerebral hemorrhage. The effects of conservative medical treatment and neuronavigation hematoma removal were compared to evaluate the recovery of motor function Situation, provide objective basis with practical value for clinical treatment. The experimental results showed that the degree of neurological recovery in the two groups of patients was higher than the preoperative score in the first week. The degree of neurological recovery in group A was better than that in group B. The difference was statistically significant. The prognosis was 13.3% in group A and 60% in group B. The prognosis in group A was 90% and group B was 68.5% at 6 months. The surgical time, hematoma clearance rate, pulmonary infection, intraoperative blood loss, recovery of neurological deficits, and long-term efficacy are superior to small bone window hematoma removal. Keywords: Neurosurgery Microscope, Hypertensive Cerebral Hemorrhage, Craniohematoma Removal, Clinical Research