3D-Slicer辅助定位微创软通道手术治疗老年高血压脑出血的临床研究

Clinical study of 3D-Slicer assisted positioning minimally invasive soft channel surgery in the treatment of hypertensive intracerebral hemorrhage in the elderly

目的探讨3D-Slicer辅助定位软通道手术治疗中等量老年高血压脑出血的临床效果。方法回顾性分析经治疗的113例20～40mL老年高血压脑出血患者的临床资料,其中采用3D-Slicer辅助定位软通道微创手术治疗患者(手术组)53例,非手术治疗患者(非手术组)60例,2组均随访5周。比较2组血肿消退时间、神经功能缺损情况、病死率。结果手术组血肿消退时间明显短于非手术组(P<0.05);治疗21d后,2组美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分均明显低于入院时,手术组NIHSS评分明显低于非手术组(P<0.05);手术组病死率明显低于非手术组(P<0.05)。结论 3D-Slicer辅助定位软通道手术治疗中等量老年高血压脑出血临床疗效佳,血肿消退时间短,病死率低。

Objective To explore the clinical effect of 3D-Slicer assisted positioning minimally invasive soft channel surgery in the treatment of aged hypertensive cerebral hemorrhage.Methods The clinical data of 113 patients with hypertension cerebral hemorrhage was analyzed retrospectively, including 53 patients with soft channel minimally invasive surgery by 3D-Slicer auxiliary positioning（surgical group）, 60 patients with non-surgical treatment（non surgical group）. The patients of two groups were followed up for 5 weeks, and the time of removal of hematoma, neurological impairment and the mortality rate were compared.Results The time of hematoma removal of the surgical group was obviously lower than the non surgical group（ P 〈 0.05）. National Institute of Health Stroke Scale（NIHSS） scores were all decreased compared with the admission, which the NIHSS scores and the mortality rate of the surgical group were both significantly declined than non surgical group（ P 〈 0.05）.Conclusion Soft channel technology with 3D-Slicer auxiliary positioning has a good clinical effect in the treatment on elderly hypertensive intracerebral hemorrhage with a medium dose, which shortened the time of hematoma removal and lowered the mortality rate.