3D-slicer软件辅助神经内镜手术治疗高血压性脑出血的疗效  

Curative effects of 3D-slicer assisted neuroendoscopic surgery on hypertensive intracerebral hemorrhage

作　　者：黄伟[1] 郭凤 冯波[1] 唐智勇 李国强[1] 孙立鹏[1] 李荣伟 HUANG Wei;GUO Feng;FENG Bo;TANG Zhi-yong;LI Guo-qiang;SUN Li-peng;LI Rong-wei(Department of Neurosurgery,Hanzhong Municipal Central Hospital,Hanzhong 723000,China;Department of Gynaecology,Hanzhong Municipal Central Hospital,Hanzhong 723000,China;Department of Neurosurgery,Guiyang Municipal Second People's Hospital,Guiyang 550005,China)

机构地区：[1]汉中市中心医院神经外科,陕西723000 [2]汉中市中心医院妇科,陕西723000 [3]贵阳市第二人民医院神经外科,550005

出　　处：《中国临床神经外科杂志》2018年第8期547-548,551,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨3D-slicer软件辅助神经内镜手术治疗高血压性脑出血的疗效。方法 2015年5月至2017年1月手术治疗高血压性脑出血60例,其中30例采用3D-slicer软件辅助神经内镜手术(A组),30例小骨窗开颅在显微镜下清除血肿(B组)。结果 A组手术时间、血肿消失时间、术中出血量均明显少于B组(P<0.05);A组血肿清除率明显高于B组(P<0.05)。A组术后发生肺部感染1例、急性肾损伤1例;B组术后发生再出血4例、消化道出血1例、肺部感染4例、急性肾损伤3例、颅内感染2例。A组并发症总发生率(6.7%,2/30)明显低于B组(33.3%,10/30;P<0.05)。结论在3D-slicer软件辅助下,神经内镜手术治疗高血压性脑出血定位精确,可提高血肿清除率。Objective To explore the curative effect of 3d-slicer-assisted neuroendoscopic surgery on hypertensive intracerebral hemorrhage(HICH).Methods Sixty patients with HICH,who were treated in our hospital from May,2015 to March,2018,were randomly divided into two groups,i.e.group A,in which 30 patients were treated by 3D-slicer assisted neuroendoscopic surgery and group B in which 30 patients by microsurgery.The curative outcomes were analyzed and compared between both the groups.Results The rate of evacuation of hematoma was significantly higher in group A than that in group B(P<0.05).The operation duration,intraoperative blood loss volume and time of disappearance of hematoma were significantly less in group A than those in group B(P<0.05).The rate of postoperative cerebral rebleeding and the incidence of postoperative complications were significantly lower in group A than those in group B(P<0.05).Conclusions The 3D-slicer-assisted neuroendoscopic surgery for hypertensive intracerebral hemorrhage has the advantages such as accurate location of hematoma,short operation duration and less operation side-injury,high rate of evacuation of hematoma and low incidence of postoperative complication and can improve the quality of life in patients with HICH.

关 键 词：高血压性脑出血 显微手术 3D-slicer 神经内镜 疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]