基于增强现实技术的神经内镜下血肿清除术治疗幕上自发性脑出血的应用研究  

Clinical application of neuroendoscopic hematoma removal based on AR technology in the treatment of moderate supratentorial spontaneous intracerebral hemorrhage

作　　者：夏海龙 杨刚[2] 郑超 XIA Hailong;YANG Gang;ZHENG Chao(Department of Neurosurgery,Chongqing Red-Cross Hospital(People's Hospital of Jiangbei District),Chongqing 400020,China;Department of Neurosurgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆市红十字会医院(江北区人民医院)神经外科,重庆400020 [2]重庆医科大学附属第一医院神经外科,重庆400016

出　　处：《中华神经外科疾病研究杂志》2025年第2期72-76,共5页Chinese Journal of Neurosurgical Disease Research

基　　金：2023年重庆市江北区科卫联合医学科研项目。

摘　　要：目的探讨基于增强现实(augmented reality,AR)技术的神经内镜下血肿清除术在治疗幕上自发性脑出血的临床应用价值。方法以重庆市红十字会医院(江北区人民医院)神经外科2022年1月至2023年12月收治的幕上自发性脑出血(30-60 ml)患者为研究对象,随机分为基于AR技术的神经内镜下脑血肿清除术组(观察组)和小骨窗开颅显微镜下血肿清除术(对照组),对比分析两组患者的手术相关指标、住院时间、并发症发生率及临床疗效。结果观察组手术时间、术中出血量、血肿清除率等手术指标均优于对照组,差异有统计学意义(P<0.05);观察组住院时间较对照组更短、并发症发生率较对照组更低,差异有统计学意义(P<0.05);观察组预后优良率为87.23%,显著优于对照组的66.67%,差异有统计学意义(P<0.05)。结论基于AR技术的神经内镜下脑血肿清除术较传统的小骨窗开颅显微镜下脑血肿清除术在治疗幕上自发性脑出血的应用中具有一定优势。Objective To investigate the clinical application value of augmented reality(AR)technology-based endoscopic hematoma removal in the treatment of supratentorial spontaneous cerebral hemorrhage.Methods Patients with supratentorial spontaneous cerebral hemorrhage(30-60 ml)admitted to the Department of Neurosurgery at Chongqing Red Cross Hospital(Jiangbei District People's Hospital)from January 2022 to December 2023 were randomly assigned to an AR technology-based endoscopic hematoma removal group(observation group)and a small bone window craniotomy with microscopic hematoma removal group(control group).Surgical parameters,length of hospital stay,incidence of complications,and clinical efficacy were compared between the two groups.Results The observation group showed superior surgical outcomes in terms of operation time,intraoperative blood loss,and hematoma clearance rate compared to the control group,with statistically significant differences(P<0.05).Additionally,the observation group had a shorter length of hospital stay and a lower incidence of complications than the control group,with statistically significant differences(P<0.05).The observation group had a significantly better prognosis rate of 87.23%compared to the control group's 66.67%,with statistically significant differences(P<0.05).Conclusions AR technologybased endoscopic hematoma removal demonstrates advantages over traditional small bone window craniotomy with microscopic hematoma removal in the treatment of supratentorial spontaneous cerebral hemorrhage.

关 键 词：增强现实技术 神经内镜 幕上自发性脑出血 血肿清除 小骨窗开颅 

分 类 号：R651.1[医药卫生—外科学]