To explore the role and advantages of multimodal navigation in endoscopic surgery for hypertensive intracerebral hemorrhage.

A retrospective research about 75 cases of hypertensive intracerebral hemorrhage was carried out in the Affiliated Hospital of Guilin Medical University. All patients went under the clearance of intracranial hematoma using the method of endoscopic visualization hard passage surgery. Twenty-six cases of them accepted the help of multimodal navigation technology (multimodal navigation group) and another 29 cases accepted the help of CT navigation technology (CT navigation group) and the rest of 20 cases accepted the help of intraoperative ultrasound technology (ultrasound group). The three groups were observed and compared in operation time, amount of bleeding, hematoma clearance rate, postoperative complications, curative effect and prognosis.

The difference of the three groups was not statistically significant (P>0.05) in operation time and intraoperative bleeding. The multimodal navigation group was higher significantly than the other two groups in hematoma clearance rate in the comparison among groups, and the difference was statistically significant (P<0.05). The multimodal navigation group was better than the other two groups in the short-term prognosis estimated through the follow-up of patients, but there was no significant difference between the three groups (P>0.05).

The multimodal navigation technology, which is worth of clinical application, can ensure transparent sheath puncture into the hematoma cavity, but also can display the location of residual hematoma effectively.