3D-slicer软件联合显微镜小骨窗治疗高血压性基底节脑出血疗效观察

doi:10.19854/j.cnki.1008-2425.2022.06.0004

摘要/Abstract

摘要： 目的观察3D-slicer软件联合显微镜小骨窗手术治疗高血压基底节脑出血的疗效。方法回顾性分析2019年8月~2021年8月我院收治的66例高血压基底节脑出血病人的相关临床资料,根据治疗方案分成3D-slicer软件联合显微镜小骨窗手术组(观察组n=35)与显微镜小骨窗手术组(对照组n=31)。根据结果分析比较两组患者手术时间、术中出血量、术后并发症发生率、血肿清除率、住院时间及术后90天GOS、GCS、ADL评分。结果观察组手术时间、术中出血量、住院时间及术后并发症发生率均低于对照组(P<0.05);观察组血肿清除率高于对照组(P<0.05);术后90天观察组GOS、GCS及ADL均优于对照组(P<0.05)。结论 3D-slicer软件可以更好的协助定位血肿位置,明确血肿周围血管、神经传导束,指导术中避开重要血管、神经传导束。3D-slicer软件可以协助术者找到最短、最优的手术路径,有效缩短手术时间、减少术中出血量、降低住院时间,降低术后并发症发生率,改善术后90天预后,提高临床预后,更好恢复生活自理。

关键词: 3D-Slicer, 显微镜开颅, 小骨窗, 高血压基底节脑出血, 疗效观察

Abstract: Objective To observe the effect of 3D-slicer software combined with microscope small bone window operation on hypertensive basal ganglia intracerebral hemorrhage.Methods The clinical data of 66 patients with hypertensive basal ganglia intracerebral hemorrhage treated in our hospital from August 2019 to August 2021 were analyzed retrospectively.According to the treatment plan,they were divided into 3D-slicer software combined with microscope group small bone window operation group(observation group n=35) and microscope small bone window operation group(control group n=31).According to the analysis of the results,the operation time,intraoperative bleed loss,incidence of postoperative complications,hematoma clearance rate,length of hospital stay and GOS,GCS and ADL scores 90 days after operation were compared between the two groups.Results The operation time,intraoperative blood loss,length of hospital stay and incidence of postoperative complications in observation group were significantly lower than those in control group (P<0.05).The hematoma clearance rate of observation groupwas better than thatincontrol group (P<0.05);90 days after operation,the GOS,GCS and ADLscores of observation group were better than those incontrol group (P<0.05).Conclusion 3D-slicer software can better help locate the hematoma,clarify the blood vessels and nerve conduction bundle around the hematoma,and guide the operation to avoid important blood vessels and nerve conduction bundle.3D-slicer software can help operators find the shortest and optimal surgical path,effectively shorten the operation time,reduce the amount of intraoperative bleeding,reduce the length of hospital stay,reduce the incidence of postoperative complications,Improve the prognosis 90 days after operation,improve the clinical prognosis,and better restore self-care.

Key words: 3D- Slicer, Microsurgical craniotomy, Small bone window, Hypertensive basal ganglia intracerebral hemorrhage, Curative effect observation

中图分类号:

R743.34

范奎, 巴永锋, 滑祥廷, 赵市伟, 张超勇. 3D-slicer软件联合显微镜小骨窗治疗高血压性基底节脑出血疗效观察[J]. 立体定向和功能性神经外科杂志, 2022, 35(6): 338-342.

Fan Kui, Ba Yongfeng, Hua Xiangting, et al. 3D slicer software combined with microscope small bone window in the treatment of hypertensive basal ganglia intracerebral hemorrhage[J]. Chinese Journal of Stereotactic and Functional Neurosurgery, 2022, 35(6): 338-342.

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