Abstract: Objective To investigate the clinical efficacy and safety of precise positioning neuroendoscopy in the treatment of intraventricular hemorrhage.
Method 82 patients with intraventricular hemorrhage admitted to the neurosurgery department of Hanzhong Central Hospital and the neurosurgery department of Xiangyang first people's Hospital from April 2018 to December 2019 were selected and divided into endoscopic group and drainage group.The endoscopic group was treated with precise positioning neuroendoscopic minimally invasive surgery(n=41 cases),while the drainage group was treated with traditional extraventricular puncture and drainage(n=41 cases).The indwelling time of drainage tube,hospital stay,hematoma clearance rate after 48 hours,complications,death and inflammatory factor levels were compared between the two groups.
Results Compared with the drainage group,the clearance rate of hematoma 48 hours after operation in the endoscopic group was higher[(91.24±4.94)% vs (81.21±4.73)%](P<0.05).The indwelling time[(3.54±0.93）d vs（4.27±1.06）d] and hospitalization time[(10.34±1.97)d vs (15.49±2.28)d] of drainage tube were less,and the postoperative complications（4.88%vs 19.51%） were less(P<0.05).
Conclusion Accurate positioning neuroendoscopy is effective and safe in the treatment of ventricular hypertensive hemorrhage.

Key words: neuroendoscopic minimally invasive surgery, ventricular hemorrhage, curative effect, security