Education, Science, Technology, Innovation and Life
Open Access
Sign In
  1. Home
  2. Journals
  3. MEDS Clinical Medicine
  4. Vol 6, Issue 4, 2025

Comparative Analysis of Surgical Indicators, Hematoma Clearance Rate, and Inflammatory Factor Levels between Minimally Invasive Hard Channel Drainage and Neuroendoscopic-Assisted Intracerebral Hematoma Evacuation in Cerebral Hemorrhage

Download as PDF

DOI: 10.23977/medsc.2025.060403 | Downloads: 7 | Views: 135

Author(s)

Zhang Xiangning 1

Affiliation(s)

1 Department of Cerebrology, Tianjin Hospital Affiliated to Tianjin Research Institute of Traditional Chinese Medicine, Tianjin, 300000, China

Corresponding Author

Zhang Xiangning

ABSTRACT

To compare the surgical indicators, hematoma clearance rate, and inflammatory factor levels between minimally invasive hard channel drainage and neuroendoscopic-assisted intracerebral hematoma evacuation in cerebral hemorrhage.  Eighty-four cerebral hemorrhage patients were selected and randomly divided into two groups (42 cases each). The observation group underwent minimally invasive hard channel puncture and drainage, while the control group underwent neuroendoscopic - assisted hematoma evacuation. Relevant indicators were compared between the two groups. The clinical indicators of surgery in the observation group, as well as the levels of IL-6 and TNF- α in the observation group 3 days after surgery, were better than those in the control group (P<0.05). The hematoma clearance rate, NIHSS, and GCS scores were similar to those in the control group (P>0.05). Minimally invasive hard channel puncture and drainage significantly outperformed neuroendoscopic - assisted hematoma evacuation in terms of operative time, intraoperative blood loss, and hospital stay, while both methods achieved comparable neurological recovery. Additionally, the hard channel technique induced less inflammatory stimulation and milder postoperative inflammatory responses. The efficacy of hard channel drainage is not inferior to neuroendoscopic evacuation, making it a viable alternative for hematoma removal. The choice of surgical method should be based on the patient's specific condition and available resources.

KEYWORDS

Minimally Invasive Surgery for Cerebral Hemorrhage, Hard Channel, Neuroendoscopy, Hematoma Clearance Rate, Inflammatory Factors

CITE THIS PAPER

Zhang Xiangning, Comparative Analysis of Surgical Indicators, Hematoma Clearance Rate, and Inflammatory Factor Levels between Minimally Invasive Hard Channel Drainage and Neuroendoscopic-Assisted Intracerebral Hematoma Evacuation in Cerebral Hemorrhage. MEDS Clinical Medicine (2025) Vol. 6: 12-18. DOI: http://dx.doi.org/10.23977/medsc.2025.060403.

REFERENCES

[1] An SJ, Kim TJ, Yoon BW. Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update [J]. Journal of Stroke. 2017;19(1):3-10.
[2] Sun Zanyu, Guo Zhilin, Wang Shangqiao. The Effect of Neuroendoscopy Combined with Minimally Invasive Puncture Drainage via Hard Pathway on Elderly Hypertensive Intracerebral Hemorrhage [J]. Journal of Chinese Gerontology, 2023, 43(15): 3609-3613.
[3] Shao Feng, Liu Jianping, Zhang Yi. Analysis of short-term efficacy and long-term prognosis of neuroendoscopic minimally invasive surgery for hypertensive intracerebral hemorrhage [J]. Journal of Rare and Uncommon Diseases. 2022;29(3):13-15.
[4] Ma Zhiming, Ma Jun, Zou Zhihao. Clinical efficacy of neuroendoscopic hard-channel technique in diagnosis and treatment of hypertensive intracerebral hemorrhage [J]. Advances in Clinical Medicine. 2024;14(10):1217-1222.
[5] Sun Zhanyu, Guo Zhilin, Wang Shangqiao. Efficacy of neuroendoscopy versus hard-channel minimally invasive puncture drainage in elderly patients with hypertensive intracerebral hemorrhage [J]. Chinese Journal of Gerontology. 2023;43(15):3609-3613.
[6] Qian Sheng, Yang Min, Xu Xianping, et al. Efficacy and safety analysis of navigation-assisted neuroendoscopic hard-channel minimally invasive treatment for hypertensive basal ganglia hemorrhage [J]. Journal of North Sichuan Medical College. 2023;38(3):323-327.
[7] Xu Xuanle, Li Xuechao, Wang Qiong, et al. Clinical efficacy of single-channel combined soft-hard channel minimally invasive hematoma puncture drainage versus neuroendoscopic hematoma evacuation in hypertensive intracerebral hemorrhage [J]. Shaanxi Medical Journal. 2021;50(8):977-982.
[8] Huang Yun, Chen Hongyou, Chen Dajian, et al. Efficacy and safety of navigation-assisted neuroendoscopic hard-channel minimally invasive versus small bone window craniotomy hematoma evacuation for elderly patients with hypertensive basal ganglia hemorrhage [J]. Chinese Journal of Gerontology. 2024;44(23):5659-5663.

Subscription
E-Mail Alert
Most popular papers
Call for Special Issue
Publication Ethics & OA Statement
Plagiarism Policy
Contact Us
Downloads: 9225
Visits: 560743

Sponsors, Associates, and Links

All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.