关键词: 神经内镜, 额中回后部, 白质纤维束, 基底节区脑出血

Abstract: Objective To compare the clinical efficacy of neuro-endoscopy trans posterior middle frontal gyrus parallel the white matter fiber tracts with microscopic craniotomy in the treatment of basal ganglia hemorrhage,and to optimize the treatment of the basal ganglia hemorrhage.Methods A total of 69 patients with basal ganglia hemorrhage that meet the inclusion criteria treated by operation between September 2019 and February 2021 were analyzed retrospectively.According to the different surgical methods,the patients were divided into endoscopic group(35 patients) and craniotomic group(34 patients).Compare the perioperative index and complete the DTI 3 weeks after surgery to evaluate the fiber tracts of the patients.And evaluate the aphasia and the ADL score 6 months later.Results The operative time、blood loss on endoscopic group was significantly better than the craniotomy group(P＜0.001).The the aphasia of the endoscopic group is better than the craniotomic group(P＜0.05).The protection of the white matter tracts and the ADL scores of the endoscopic group are also significantly better than craniotomic group(P＜0.001).Conclusion Neuro-endoscopy trans posterior middle frontal gyrus parallel the white matter fiber tracts is safer、faster、less hemorrhage,and have a good protection of the fiber tracts.The patients have a better neurological recovery and outcome.

Key words: Neuro-endoscopy, Posterior middle frontal gyrus, The white matter fiber tracts, Basal ganglia hemorrhage