Ultrasound guidance endoscopic surgery (ES) has been widely used in the treatment of cerebral hemorrhage in recent years, but relevant research articles are still scarce. Our study aims to investigate the effect of ES compared with conventional craniotomy (CC) on the postoperative complications, and prognosis of patients with intracerebral hemorrhage. The clinical data of 1201 patients with ICH treated in our hospital from January 2017 to January 2020 were collected. The t-test, Chi-squared test and Fisher's exact test were used to analyze the clinical baseline data. Among 1021 spontaneous ICH patients, 193 patients who underwent hematoma evacuation were included in the present analysis. The Glasgow Outcome Scale (GOS) score at 6 months had a favorable prognosis in ES group ( = 0.003). ES group had fewer postoperative complications compared with CC group. Operating time and intraoperative blood loss were significantly lower in ES group than CC group ( = 0.001 and = 0.002). Our study revealed that receiving ES improved the prognosis of ICH patients. Additionally, endoscopic surgery diminishes operative time, and intraoperative blood loss and reduces the incidence of postoperative complications.

中文翻译：

---

超声引导内窥镜手术与传统开颅手术之间自发性脑出血后的功能结果：基于人群的回顾性研究

近年来，超声引导内镜手术（ES）在脑出血的治疗中得到广泛应用，但相关研究文章仍然匮乏。我们的研究旨在探讨ES与传统开颅手术（CC）相比对脑出血患者术后并发症和预后的影响。收集2017年1月至2020年1月我院收治的1201例ICH患者的临床资料。采用t检验、卡方检验和Fisher精确检验对临床基线数据进行分析。在 1021 名自发性 ICH 患者中，193 名接受血肿清除的患者纳入本分析。ES组6个月时格拉斯哥结果量表（GOS）评分预后良好（=0.003）。ES组术后并发症较CC组少。ES 组的手术时间和术中失血量显着低于 CC 组（= 0.001 和 = 0.002）。我们的研究表明，接受 ES 可以改善 ICH 患者的预后。此外，内窥镜手术减少了手术时间和术中失血量，并降低了术后并发症的发生率。