高血压脑出血三维可视化应用研究

Application of 3D visualization of hypertensive cerebral hemorrhage

目的:探讨三维可视化技术在治疗高血压脑出血患者中的应用效果。方法:选择2015年3月-2019年8月高血压脑出血患者62例,随机分为对照组和观察组,每组31例。对照组给予小骨窗开颅血肿清除术治疗,观察组于三维可视化技术下行软通道置管穿刺引流术治疗,术后5 d评估患者临床效果,比较两组手术指标、神经功能缺损及术后并发症情况。结果:观察组术后5 d美国国立卫生院神经功能缺损评分(NIHSS)低于对照组(P<0.05),斯堪迪尼亚卒中量表(SSS)和日常生活能力量表(ADL)评分高于对照组(P<0.05);观察组颅内感染、颅内出血、脑脊液渗漏、肺部感染发生率均低于对照组(P<0.05)。结论:三维可视化技术用于治疗高血压脑出血患者能改善神经功能缺损,提高患者生活能力,降低术后并发症发生率。

Objective:To explore the clinical effect of three-dimensional visualization technology in patients with hypertensive cerebral hemorrhage.Methods:Sixty-two patients with hypertensive cerebral hemorrhage from March 2015 to August 2019 were selected as subjects and randomly divided into a control group(n=31)and an observation group(n=31).The control group was treated with small bone window craniotomy for hematoma removal.The observation group was treated with 3D visualization technique for soft channel catheterization and drainage.The effect was evaluated 5 days after surgery.The surgical indicators,neurological deficits,and postoperative complications were compared between the two groups disease.Results:The NIHSS scores of the observation group at 5 days after treatment were lower than those of the control group(P<0.05).The SSS and ADL scores of the observation group at 5 days after treatment were higher than those of the control group(P<0.05).The incidence of intracranial infection,intracranial hemorrhage,cerebrospinal fluid leakage,and lung infection in the observation group were lower than those in the control group(P<0.05).Conclusion:The application of 3D visualization technology in patients with hypertensive intracerebral hemorrhage can improve neurological deficits,improve patients′ability of living activities,and reduce the incidence of postoperative complications.