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Objective To explore the advantages of neuroendoscope assisted surgery for cerebral hemorrhage breaking into ventricles.Methods Fifty patients with cerebral hemorrhage breaking into ventricles,admitted to our hospital from January 2013 and December 2016,were retrospectively studied;25 patients in observation group were performed evacuation of brain parenchyma and intraventricular hematoma under neuroendoscope and intubation draina,while 25 patients in control group were performed intraventricular drainage and evacuation of hematoma under microscope.Time of carrying tube,intracranial infection rate,intraventricular hematoma clearance rate,and Glasgow coma scale (GCS) scores were analyzed in the two groups.Results The patients from the observation group had shorter time of carrying tube ([4.0±1.9] d),lower intracranial infection rate (12％),and higher GCS scores 7 d after operation (11.1±2.3) than patients from the control group ([7.0±2.1) d,36％,9.0±2.8) with statistical differences (P＜0.05).The intraventricular hematoma clearance rate in the observation group on the 1st,3rd and 7rd d of operation (60.12％±10.23％,70.75％±17.21％,83.36％±8.64％) was significantly higher than that in the control group (25.35％±11.35％,50.48％±13.90％,65.75％±9.32％,P＜0.05).Conclusion The surgical treatment aided by ventriculoscope for intracerebral hemorrhage breaking into ventricle has advantages in shortening the extubation time,reducing the incidence of infection and improving the prognosis.
RESUMO
Objective To study the efficacy of microvascular decompression in treating cranial nerve diseases. Methods 156 patients were treated with microvaseular decompression,of whom 119 were with trigeminal neuralgia,34 with hemifacial spasm and three with glossopharyngeal neuralgia.Rusults The overall effective rate was 96.8%(151/156) and the corresponding effective rate for the above three conditions were 94.2%,97.1% and 66.7%. Conlusions Mierovaseular decompression iS an effective treatment for cranial nerve diseases.