高血压脑出血3D Slicer影像学血肿参数与软通道引流术后患者预后的相关性分析  

Correlation analysis of hematoma parameters on 3D Slicer imaging of hypertensive cerebral hemorrhage and patient prognosis after soft channel drainage

作　　者：林永雙 栗学玉[1] 龚政源 黄海能[1] LIN Yongshuang;LI Xueyu;GONG Zhengyuan;HUANG Haineng(Department of Neurosurgery,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Graduate School of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院附属医院神经外科,广西百色533000 [2]右江民族医学院研究生学院,广西百色533000

出　　处：《右江民族医学院学报》2024年第3期359-363,共5页Journal of Youjiang Medical University for Nationalities

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20220875)。

摘　　要：目的探讨3D Slicer影像学血肿参数与高血压脑出血(hypertensive intracerebral hemorrhage,HICH)软通道引流术预后的关系。方法选取2019年3月至2022年1月在右江民族医学院附属医院接受软通道钻孔引流术治疗的69例HICH患者为研究对象,分析3D Slicer影像学血肿参数(血肿体积、表面积、规则率等)与血肿清除率的相关性。分析HICH患者的3D Slicer影像学血肿参数(血肿体积、表面积、规则率等)对软通道引流术预后的预测价值。结果Logistic多因素回归分析显示,3D Slicer测量血肿体积、血肿表面规则率(SR)、入院格拉斯哥评分(GCS)是影响HICH软通道引流术患者预后的独立因素(P<0.05),分析结果呈正相关(P<0.05)。ROC曲线结果提示SR预测HICH软通道引流术患者预后的灵敏度、特异度、AUC分别为85.7%、73.5%、0.831。结论SR是行软通道钻孔引流术患者不良预后的影响因素并有较高的预测价值。Objective To investigate the relationship between 3D Slicer imaging hematoma parameters and the prognosis of soft-channel drainage for hypertensive intracerebral hemorrhage(HICH).Methods Selected sixty-nine patients with HICH who underwent soft-channel drilling and drainage treatment at the Affiliated Hospital of Youjiang Medical University for Nationalities from March 2019 to January 2022.Analyzed the correlation between 3D Slicer imaging hematoma parameters(such as hematoma volume,surface area,and regularity rate)and hematoma clearance rate.Additionally,we examined the predictive value of these parameters on the prognosis of soft-channel drainage in patients with HICH.Results Logistic multifactorial regression analysis showed that 3D Slicer-measured hematoma volume,hematoma surface regularity(SR),and Glasgow coma scale(GCS)score were independent factors affecting the prognosis of patients undergoing soft-channel drainage for HICH(P<0.05).The results indicated a positive correlation between hematoma surface regularity and hematoma clearance(P<0.05).Furthermore,the ROC curve analysis suggested that the sensitivity,specificity,and AUC of SR for predicting the prognosis in patients undergoing soft-channel drainage for HICH were 85.7%,73.5%,and 0.831,respectively.Conclusion Hematoma surface regularity(SR)is an independent factor influencing the poor prognosis of patients undergoing soft-channel drilling and drainage,demonstrating a high predictive value.

关 键 词：高血压脑出血 软通道钻孔引流术 3D Slicer 血肿形态不规则 

分 类 号：R743.34[医药卫生—神经病学与精神病学]