神经导航融合CT三维血管成像在颅内远端动脉瘤手术中的应用价值  

Application Value of Neuronavigation Combined with CT Three-dimensional Angiography in Distal Intracranial Aneurysms

作　　者：胡坤[1] 周小平 张震宇[1] 蒋秋华[1] HU Kun;ZHOU Xiao-ping;ZHANG Zhen-yu;JIANG Qiu-hua(Department of Neurosurgery,Ganzhou People's Hospital,Ganzhou 341000,Jiangxi,China)

机构地区：[1]赣州市人民医院神经外科,江西赣州341000

出　　处：《医学信息》2021年第21期100-102,共3页Journal of Medical Information

基　　金：赣州市指导性科技计划项目(编号:GZ2018ZSF241)。

摘　　要：目的探究神经导航融合CT三维血管成像在颅内远端动脉瘤手术中的应用价值。方法回顾性分析2011年9月-2020年9月我院收治78例颅内动脉瘤患者,根据治疗方式分为对照组(38例)和观察组(40例),对照组采用单纯夹闭治疗,观察组在神经导航融合CT三维血管成像下进行夹闭治疗;比较两组定位和入路设计准确性、神经功能恢复情况、手术时间、住院天数、治疗费用、并发症及生存质量。结果观察组定位准确率和入路设计准确率分别为90.00%、92.50%,均高于对照组的63.16%、63.16%,差异有统计学意义(P<0.05);观察组卡氏评分(KPS)评分高于对照组,差异有统计学意义(P<0.05);观察组手术时间、住院天数和治疗费用均少于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);观察组格拉斯哥预后(GOS)评分高于对照组,差异有统计学意义(P<0.05)。结论神经导航融合CT三维血管成像在颅内远端动脉瘤手术中定位和入路设计准确性较高,能够缩短手术时间和住院天数,促进神经功能恢复,改善患者生存质量,且经济实用,安全性高。Objective To explore the application value of neuronavigation combined with CT three-dimensional angiography in distal intracranial aneurysm surgery.Methods A retrospective analysis of 78 patients with intracranial aneurysms admitted to our hospital from September 2011 to September 2020 was divided into control group(38 cases)and observation group(40 cases)according to the treatment method.The control group was treated with simple clipping,and the observation group was treated with neuronavigation fusion CT three-dimensional angiography.The accuracy of positioning and approach design,recovery of neurological function,operation time,hospitalization days,treatment cost,complications and quality of life were compared between the two groups.Results The positioning accuracy and approach design accuracy of the observation group were 90.00%and 92.50%,which were higher than 63.16%and 63.16%of the control group,and the difference was statistically significant(P<0.05).The Glasgow outcome(GOS)score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The operation time,hospitalization days and treatment costs of the observation group were less than those of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The Glasgow outcome(GOS)score in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Neuronavigation combined with CT three-dimensional angiography has high accuracy in the positioning and approach design of distal intracranial aneurysm surgery,which can promote the recovery of neurological function,improve the quality of life,shorten the operation time and hospitalization days,and has low cost and adverse reactions.

关 键 词：神经导航 CT三维血管成像 颅内远端动脉瘤 

分 类 号：R65[医药卫生—外科学] R44[医药卫生—临床医学]