摘要
目的探讨新型“开放+桥基”式3D导板在精准穿刺引流术治疗高血压性脑出血中的应用疗效。方法回顾分析2020年8月~2021年5月在我院住院的32例高血压性脑出血病例进行穿刺引流手术,对照组(n=16)采用传统CT定位下穿刺。实验组(n=16)在新型“开放+桥基”式3D导板引导下穿刺。比较两组的手术时间、靶点偏移距离及术后3日血肿清除率。结果实验组手术时间(36.54±3.52)min、靶点偏移距离(0.30±0.03)cm、术后3日血肿清除率(91.16±2.22)%,优于对照组(40.52±3.50)min、(0.49±0.03)cm、(81.93±3.36)%,差异均具有统计学意义(P<0.05)。结论高血压性脑出血患者在新型“开放+桥基”式3D导板引导下行穿刺术,定位精准,操作方便,安全可行,理论上可改善患者预后,具有推广意义。
Objective To investigate the application effect of the new"open+bridge base"3D guide in the treatment of hypertensive cerebral hemorrhage by precise puncture drainage.Methods A retrospective analysis was performed on 32 cases of hypertensive intracerebral hemorrhage collected in our hospital from August 2020 to May 2021.The control group(n=16)underwent puncture under traditional CT positioning.The experimental group(n=16)underwent puncture under the guidance of the new"open+bridge foundation"3D guide plate.The operation time,target deviation distance and the clearance rate of hematoma 3 days after operation were compared between the two groups.Results The operative time of the experimental group was(36.54±3.52)min,the target deviation distance was(0.30±0.03)cm,and the hematoma clearance rate was(91.16±2.22)%,which were better than those of the control group(40.52±3.50)min,(0.49±0.03)cm,(81.93±3.36)%.There were statistical differences in the above indexes(P<0.05).Conclusions The new"open+bridge base"type 3D guide for patients with hypertensive cerebral hemorrhage is,safe and feasible,with accurate positioning,which can theoretically improve the prognosis of patients,and has the significance of promotion.
作者
王佳妮
郭文杰
彭荣阳
夏媛
刘晶晶
饶利兵
万星光
李莉
Wang Jiani;Guo Wenjie;Peng Rongyang;Xia Yuan;Liu Jingjing;Rao Libing;Wan Xingguang;Li Li(Hunan University of Medicine,Huaihua 418000,Hunan Province,China)
出处
《中国临床解剖学杂志》
CSCD
北大核心
2023年第6期733-737,共5页
Chinese Journal of Clinical Anatomy
基金
湖南省自然科学基金(2022JJ50292)
怀化市数字解剖与3D打印临床转化研究重点实验室(2020R2201)
湖南医药学院教学改革研究项目(2021JG39)
横向课题“:开放+桥基”式3D导板在脑出血穿刺中的研究。
关键词
3D导板
脑出血
穿刺引流术
3D guide
Intracranial hemorrhage
Puncture drainage
