3Dslicer软件辅助定位老年高血压脑出血微创治疗的临床应用

doi:10.3969/j.issn.1005-6483.2020.06.011

摘要/Abstract

摘要： 目的：探讨应用3Dslicer软件进行三维重建辅助定位老年高血压脑出血微创治疗的临床疗效。方法：老年高血压脑出血病人60例，根据术前定位方法的不同分为实验组和对照组，每组各30例。实验组采用3Dslicer三维重建辅助定位下软通道穿刺引流术，对照组采用传统CT片辅助定位下软通道穿刺引流术。观察两组引流管到达预定位置成功率、治疗效果、血肿清除率、并发症及预后情况。结果：实验组引流管到达预定位置的成功率为90.0%，术后第3天血肿清除率为（61.9±7.3）%；对照组分别为63.3%和（57.9±6.7）%。差异有统计学意义（P＜0.05）。实验组病人预后GOS评分Ⅰ级0例，Ⅱ级1例，Ⅲ级2例，Ⅳ级16例，Ⅴ级11例；对照组病人预后GOS评分分别为1例，2例，10例，9例和，8例。两组比较差异有统计学意义（P<0.05）。结论：应用3Dslicer软件进行三维重建辅助定位穿刺是一种安全、有效、可靠的方法，能提高微创软通道颅内血肿穿刺引流术早期的血肿清除率，改善预后。

关键词: 3Dslicer, 高血压脑出血, 软通道穿刺引流术

Abstract: Objective：To investigate the application of the 3Dslicer software assisted softchannel puncture drainage in the treatment of senile hypertensive cerebral hemorrhage.Methods：The clinical data of 60 elderly patients with hypertensive cerebral hemorrhage were retrospectively analyzed，and were divided into 30 cases in the experimental group and 30 cases in the control group according to different preoperative localization methods.The control group was assisted by normal way，and the experimental group was assisted by 3Dslicer.And then drainage tube arrived at the predetermined location，clearance rate of hematoma，complications and prognosis of two groups were analyzed.Results：In the observation group，the success rate of the drainage tube reached the predetermined position was 90.0%，and the hematoma clearance rate on the third postoperative day ws（61.9±7.3）%.In the control group，the success rate of the drainage tube reached the predetermined position was 63.3%，and the hematoma clearance rate on the third postoperative day was（57.9±6.7）%.The difference was statistically significant（P<0.05）.The GOS score of the patients in the experimental group was 0 case in grade Ⅰ，1 case in grade Ⅱ，2 cases in grade Ⅲ，16 cases in grade Ⅳ，and 11 cases in grade Ⅴ.The GOS score in the control group was 1 case in grade Ⅰ，2 cases in grade Ⅱ，10 cases in grade Ⅲ，9 cases in grade Ⅳ and 8 cases in grade Ⅴ.The difference was statistically significant（P<0.05）.Conclusion：The application of the 3Dslicer software assisted softchannel puncture drainage for the treatment of senile hypertensive cerebral hemorrhage can improve the accuracy of puncture positioning and intracranial hematoma clearance.It can improve prognosis of patients.

Key words: 3Dslicer, hypertensive cerebral hemorrhage, soft channel puncture and drainage

伍博, 周赤忠, 潘德锐. 3Dslicer软件辅助定位老年高血压脑出血微创治疗的临床应用[J]. 临床外科杂志, 2020, 28(6): 537-540.

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