3D-slicer软件辅助神经内镜手术治疗高血压脑出血的临床观察(1)
【摘要】 目的 觀察3D-slicer软件定位在高血压脑出血神经内镜手术中的辅助价值。 方法 回顾性分析2017年1月至2019年6月神经外科收治的80例高血压脑出血手术患者，根据手术定位方式分组，40例采用3D-slicer软件辅助定位的高血压脑出血神经内镜手术患者作为A组，40例采用常规弦距体表定位的高血压脑出血神经内镜手术患者作为B组，对比观察两组患者的手术时间、术中出血量、平均血肿清除率、住院天数，术前、术后1周GCS评分，术后6个月随访术后神经功能评分(GOS)分级。结果 A组患者的手术时间短于B组，血肿清除率高于B组，术中出血量少于B组，住院时间短于B组(P<0.001)。两组患者的术后1周GCS评分较术前均显著升高(P<0.01)，但A组术后1周GCS评分高于B组(P<0.01)。术后6个月GOS分级，A组患者优于B组(P<0.01)。结论 使用3D-slice软件辅助神经内镜高血压脑出血手术定位，是一种简单安全、行之有效的治疗方法，可提高患者的临床预后，值得在基层医院推广应用。
【关键词】 高血压脑出血;3D-slicer软件;神经内镜
中图分类号：R743.34 文献标志码：A DOI：10.3969/j.issn.1003-1383.2020.10.007
【Abstract】 Objective To observe the auxiliary value of 3D-slicer software localization in neuroendoscopic surgery for hypertensive intracerebral hemorrhage. Methods A retrospective analysis of 80 patients with hypertensive intracerebral hemorrhage who were admitted to department of neurosurgery from January 2017 to June 2019 was carried out. The patients were grouped according to surgical localization. 40 patients with hypertensive intracerebral hemorrhage underwent neuroendoscopic surgery assisted with 3D-slicer software localization were selected as group A， and 40 patients with hypertensive intracerebral hemorrhage underwent neuroendoscopic surgery with conventional chord distance localization were selected as group B. And then， operation time， intraoperative blood loss， mean hematoma clearance rate， length of hospital stay， GCS before and 1 week after operation were compared and observed， and postoperative neurological function score (GOS) grading were followed up 6 months after operation. Results The operation time of the group A was shorter than that of the group B， the clearance rate of hematoma was higher than that of the group B， the amount of intraoperative bleeding was less than that of the group B， and the hospitalization time was shorter than that of the group B (P < 0.001). 1 week after operation， the GCS scores of the two groups were significantly higher than those before operation (P < 0.01)， but the GCS score of the group A was higher than that of the group B (P < 0.01). 6 months after operation， the GOS grading in the group A was better than that in the group B (P < 0.01). Conclusion It is a simple， safe and effective treatment method to use 3D-slice software to assist the surgical localization of hypertensive intracerebral hemorrhage under neuroendoscope， which can improve the clinical prognosis of patients， and is worthy of promotion and application in primary hospitals., 百拇医药(蓝欢 马兴才 赵冠焱 谢昌纪 李光 韦成聪 周志宇)
【关键词】 高血压脑出血;3D-slicer软件;神经内镜
中图分类号：R743.34 文献标志码：A DOI：10.3969/j.issn.1003-1383.2020.10.007
【Abstract】 Objective To observe the auxiliary value of 3D-slicer software localization in neuroendoscopic surgery for hypertensive intracerebral hemorrhage. Methods A retrospective analysis of 80 patients with hypertensive intracerebral hemorrhage who were admitted to department of neurosurgery from January 2017 to June 2019 was carried out. The patients were grouped according to surgical localization. 40 patients with hypertensive intracerebral hemorrhage underwent neuroendoscopic surgery assisted with 3D-slicer software localization were selected as group A， and 40 patients with hypertensive intracerebral hemorrhage underwent neuroendoscopic surgery with conventional chord distance localization were selected as group B. And then， operation time， intraoperative blood loss， mean hematoma clearance rate， length of hospital stay， GCS before and 1 week after operation were compared and observed， and postoperative neurological function score (GOS) grading were followed up 6 months after operation. Results The operation time of the group A was shorter than that of the group B， the clearance rate of hematoma was higher than that of the group B， the amount of intraoperative bleeding was less than that of the group B， and the hospitalization time was shorter than that of the group B (P < 0.001). 1 week after operation， the GCS scores of the two groups were significantly higher than those before operation (P < 0.01)， but the GCS score of the group A was higher than that of the group B (P < 0.01). 6 months after operation， the GOS grading in the group A was better than that in the group B (P < 0.01). Conclusion It is a simple， safe and effective treatment method to use 3D-slice software to assist the surgical localization of hypertensive intracerebral hemorrhage under neuroendoscope， which can improve the clinical prognosis of patients， and is worthy of promotion and application in primary hospitals., 百拇医药(蓝欢 马兴才 赵冠焱 谢昌纪 李光 韦成聪 周志宇)