[1]张义彪,徐敬斌,高亚峰,等.3D-Slicer辅助定位微创软通道引流术治疗中等量高血压脑出血的疗效观察[J].临床神经外科杂志,2019,16(2):169-172.[doi:10.3969/j.issn.1672-7770.2019.02.015]
 ZHANG Yi-biao,XU Jing-bin,GAO Ya-feng,et al.Therapeutic effect of 3D-slicer software on minimally invasive soft-segment surgery for moderate amount of hypertensive intracerebral hemorrhage[J].Journal of Clinical Neurosurgery,2019,16(2):169-172.[doi:10.3969/j.issn.1672-7770.2019.02.015]
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3D-Slicer辅助定位微创软通道引流术治疗中等量高血压脑出血的疗效观察()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第2期
页码:
169-172
栏目:
临床研究
出版日期:
2019-04-17

文章信息/Info

Title:
Therapeutic effect of 3D-slicer software on minimally invasive soft-segment surgery for moderate amount of hypertensive intracerebral hemorrhage
作者:
张义彪徐敬斌高亚峰成金民常奎李秀勇
236015 阜阳,安徽省阜阳市第二人民医院神经外科(张义彪,徐敬斌,高亚峰,成金民,常奎),血液净化科(李秀勇)
Author(s):
ZHANG Yi-biao XU Jing-bin GAO Ya-feng et al.
Department of Neurosurgery, Fuyang Second People's Hospital of Anhui, Fuyang 236015, China
关键词:
高血压脑出血3DSlicer微创软通道疗效
Keywords:
hypertensive intracerebral hemorrhage 3Dslicer software minimally invasive soft channel clinical efficacy
分类号:
R651.1;R544.1
DOI:
10.3969/j.issn.1672-7770.2019.02.015
文献标志码:
D
摘要:
【摘要】目的 探讨3D-Slicer辅助定位下微创软通道置管外引流术治疗中等量高血压脑出血的临床疗效。方法阜阳市第二人民医院神经外科2016年5月—2018年5月行微创软通道置管外引流术治疗的,出血量在30~60 mL的幕上高血压脑出血患者52例。依据确定脑血肿体表穿刺点的方法不同,将患者分为3D-Slicer辅助定位组(3D-Slicer定位组)和CT定位组(对照组),每组各26例。对比两组患者脑血肿穿刺满意率、尿激酶冲洗次数、术后1 d、3 d血肿清除率、拔管时间、术后并发症及神经功能恢复状况。结果3D-Slicer定位组患者的血肿穿刺满意率、血肿清除率明显高于对照组,尿激酶冲洗次数及拔管时间小于对照组,差异均有统计学意义(均P<0.05)。两组再出血及颅内感染方面并发症之间差异无统计学意义(均P>0.05)。术后3个月时,3D-Slicer定位组患者的日常生活能力显著优于对照组(P<0.05)。结论3D-Slicer可为高血压脑出血微创软通道置管血肿引流手术,提供更加精准的体表定位;并可在术后较短时间内彻底引流血肿,临床疗效显著。
Abstract:
Abstract: ObjectiveTo explore the clinical efficacy of minimally invasive soft-channel external drainage in the treatment of moderate-volume hypertensive cerebral hemorrhage with 3D-slicer software-assisted positioning. MethodsFrom May 2016 to May 2018, minimally invasive soft-channel external drainage was used to treat 52 patients with supratentorial hypertensive cerebral hemorrhage with 30-60 mL bleeding volume in Fuyang Second People's Hospital. According to the method of determining the body surface puncture point, it was divided into 26 segments of the slicer software positioning group (study group) and the body surface stereotactic positioning group (control group). The cerebral hematoma puncture satisfaction rate, number of urokinase flushing, hematoma clearance rate, extubation time, postoperative complications and neurological recovery in two groups were compared. ResultsThe hematoma puncture satisfaction rate and hematoma clearance rate of the study group were higher than that of the control group, and the number of urokinase flushing and extubation time were smaller than the control group,the difference was statistically significant(P<0.05). There was no significant difference in complications between rebleeding and intracranial infection between the two groups (P>0.05). The daily living ability of the study group was significantly better than that of the control group in the third month after operation (P<0.05). Conclusions3D-slicer software on minimally invasive soft-segment surgery can provide more accurate surface positioning for hypertensive cerebral hemorrhage, and completely drain the hematoma in a short time after surgery. The clinical effect is remarkable.

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更新日期/Last Update: 2019-04-17