螺旋CT三维重建立体定位在软通道微创颅内血肿穿刺引流术治疗高血压颅内出血中的应用效果

The effect of CT three-dimensional reconstruction in the treatment of HICH with minimally invasive intracranial hematoma puncture and drainage

目的分析螺旋CT三维重建定位应用于软通道微创颅内血肿穿刺引流术治疗高血压颅内出血(HICH)的临床效果。方法筛选广东药科大学附属第一医院2014年1月~2016年6月收治的176例HICH的患者。根据患者三维重建定位方式不同分为简易CT定位患者(对照组)和螺旋CT定位患者(观察组),其中对照组89例,观察组87例。观察两种方法下患者颅内血肿定位效果,选择合适穿刺点应用软管穿刺,观察引流有效率。结果观察组治疗有效率为93.10%,高于对照组患者(86.52%,P<0.05)。观察组一次成功率为93.10%,明显高于对照组患者(86.52%,P<0.05)。比较两组患者术后并发症,观察组患者术后再出血率(6.90%)低于对照组患者(13.80%),差异有统计学意义(P<0.05)。结论螺旋CT三维重建定位应用于软通道微创颅内血肿穿刺引流术治疗HICH患者,其临床效果明显优于简易CT三维重建法,具有定位准确率高,患者术后并发症少,可显著提高患者预后的优点。

Objective To analyze the clinical effect of minimally invasive intracranial hematoma puncture and drainage in the treatment of HICH with three-dimensional reconstruction of CT.nethods 176 cases of HICH in our hospital from January 2012 to June 2016 were selected and divided into simple CT positioning patients （control group） and spiral CT localization patients （observation group） according to the three-dimensional reconstruction, there were 89 cases in the control group and the other in the observation group （n=87）.The effect of two methods on the localization of intracranial hematoma,appropriate puncture point using hose puncture,drainage efficiency were observed.Results The effective rate in patients of observation group （93.10%） was higher than that in patients of control group （86.52%） （P〈0.05）.The success rate of observation group was 93.10%,which was significantly higher than that of control group （86.52%,P〈0.05）.The post-operative comphcations were compared between the two groups,the patients with spiral CT localization,the rate of post-operative rebleeding （6：90%） was significantly lower than that of the patients with simple CT （13.80%） （P〈0.05）.Conclusion Application of CT 3D reconstruction in soft channel minimally invasive intracranial hematoma drainage in patients with HICH,the clinical effect of spiral CT 3D reconstruction method is obviously better than that of simple CT three-dimensional reconstruction,the accuracy of positioning is high, the patient＇s postoperative complications are less, and can significantly improve the prognosis of patients.