摘要
目的:观察利用3D打印技术打印手术穿刺导板,辅助血肿腔穿刺治疗基底节区脑出血的效果。方法:2016年9月至2017年12月收治的符合选择条件的基底节区脑出血患者,随机分为两组,其中观察组18例患者,采用3D打印技术制作导板,用以术中辅助穿刺,术后采取手法负压及尿激酶注射促进血肿排出,对照组18例患者采用术前头颅CT定位后穿刺血肿腔,术后采取手法负压及尿激酶注射促进血肿排出。结果:观察组18例患者及家属对治疗结果均满意,手术平均时间(34. 90±2. 40) min,穿刺偏离血肿腔中央0例,平均带管时间(3. 25±0. 67) d,平均尿激酶注射次数(2. 58±0. 73)次,血肿排出干净18例,无感染病例。对照组18例中5例对治疗效果不满意,手术平均时间(56. 06±2. 84) min,穿刺偏离血肿腔中央7例,平均带管时间(4. 52±0. 71) d,平均尿激酶注射次数(3. 46±0. 91)次,血肿排出干净14例,无感染病例。结论:3D打印技术辅助血肿腔穿刺手术治疗基底节区脑出血,与单纯术前头颅CT定位血肿腔穿刺相比,效果更佳,更适宜临床推广应用。特别是基层医院无术中CT的情况下。
Objective： To observe the effect of using 3D printing technology to print surgical puncture guide plate and assist hematoma cavity puncture in the treatment of cerebral hemorrhage at basal ganglia. Methods： The sequential alternation of patients with cerebral hemorrhage from basal ganglia treated with selective conditions from September 2016 to December 2017 were divided into two groups. In the experimental group, 18 cases were made with 3D printing technology to make the guide plate, which was assisted with puncture during operation, and after operation, manipulative negative pressure and urokinase injection were applied to promote the discharge of hematoma. 18 cases of the control group underwent puncture hematoma cavity after preoperative skull CT localization, and postoperative negative pressure and urokinase injection were adopted to promote the discharge of hematoma. Results： The families of 18 patients in the experimental group were satisfied with the treatment results, average time of operation 34.90±2.40 minutes, 0 cases puncture deviation from central hematoma cavity, average duct time 3.25±0.67 days, average urokinase injection times 2.58±0.73, 18 cases hematoma discharging clean, and no cases infectious. Among 18 cases, 5 cases in the control group were not satisfied with the therapeutic effect, average time of operation 56.06±2.84 minutes, 7 cases puncture deviation from central hematoma cavity, average duct time 4.52±0.71 days, average urokinase injection times 3.46±0.91, 14 cases of hematoma discharging clean, and no cases infectious. Conclusion： 3D printing technique assisted hematoma cavity puncture in treatment of cerebral hemorrhage in basal ganglia area, compared with the preoperative skull CT locating hematoma cavity puncture, is of better effect, more suitable for clinical application, especially in primary hospitals without Intraoperative CT.
作者
高福源
GAO Fuyuan(The People＇s Hospital of Juye County,Shandong,Juye 274900,China)
出处
《包头医学院学报》
CAS
2018年第10期30-31,37,共3页
Journal of Baotou Medical College
关键词
3D打印技术
血肿腔穿刺
基底节区脑出血
3D Printing technique
Helnatoma cavity puncture
Cerebral hemorrhage in basal ganglia area
