3D Slicer软件系统辅助下微创穿刺置管术与开颅显微手术治疗高血压脑出血的疗效观察

Efficacy of 3D Slicer software-assisted minimally invasive catheterization versus microcraniotomy for hypertensive intracerebral hemorrhage

目的观察3D Slicer软件系统辅助下微创穿刺置管术与开颅血肿显微清除术治疗高血压脑出血的疗效。方法回顾性分析50例高血压脑出血患者的临床资料。观察组(n=25)患者采用3D Slicer软件系统辅助下微创穿刺置管术治疗,对照组(n=25)患者采用开颅血肿显微清除术治疗。比较两组患者手术时间、术后住院天数、并发症发生率、再出血率及手术疗效。结果观察组手术时间、术后住院天数均短于对照组,术后并发症发生率低于对照组(均P<0.05),而两组再出血发生率及疗效优良率比较,差异均无统计学意义(均P>0.05)。结论3D Slicer软件系统辅助下微创穿刺置管术与开颅显微外科手术治疗高血压脑出血患者均能获得较好的效果,而3D Slicer软件系统辅助下微创穿刺置管术手术时间及术后住院时间更短,术后并发症更少。

Objective To observe the efficacy of 3D Slicer software-assisted minimally invasive catheterization versus microcraniotomy for hypertensive cerebral hemorrhage.Method The clinical data of 50 patients with hypertensive intracerebral hemorrhage were analyzed retrospectively.Patients in the observation group(n=25)were treated with 3D Slicer software-assisted minimally invasive catheterization,while patients in the control group(n=25)were treated with microcraniotomy and hematoma removal.Operation duration,postoperative hospital stay,incidence rates of complications,rebleeding rate,and operation efficacy were compared between the two groups.Results The observation group had shorter operation duration and postoperative hospital stay as well as lower incidence rates of postoperative complications compared with the control group(all P<0.05).However,there was no statistically significant difference between the two groups in rebleeding rate or the excellent and good rate for efficacy(all P>0.05).Conclusions Both 3D Slicer software-assisted minimally invasive catheterization and microcraniotomy achieve a favorable efficacy for patients with hypertensive cerebral hemorrhage,and 3D Slicer software-assisted minimally invasive catheterization has shorter operation duration,shorter postoperative hospital stay and fewer postoperative complications.