摘要
目的观察应用3D⁃slicer软件对影像行三维重建在高血压脑出血开颅术中的应用价值。方法选择2019年1月至2020年12月信阳市中心医院神经外科收治的164例高血压脑出血开颅手术患者为研究对象,根据术前是否采用虚拟定位,患者被分为对照组与观察组。将2019年1月至2019年9月收治的84例脑出血开颅手术患者设为对照组,将2019年10月至2020年12月术前使用3D⁃slicer行虚拟定位的80例脑出血开颅手术患者设为观察组。比较两组游离骨瓣面积、手术时间、血肿清除率、术后感染例数、住院时间、术前及术后1周格拉斯哥昏迷评分(GCS)。结果观察组游离骨瓣面积小于对照组,手术时间、住院时间短于对照组,血肿清除率高于对照组,差异均有统计学意义(P均<0.05)。两组术后1周GCS均高于术前,但两组比较差异未见统计学意义(P>0.05)。两组术后感染例数比较,差异未见统计学意义(P>0.05)。结论术前使用3D⁃slice软件处理影像学数据后进行的虚拟定位是简单安全、行之有效的方法,可改善患者的临床预后。
Objective To observe the application value of 3D⁃Slicer software in 3D image reconstruction for craniotomy of hypertensive ntracerebral hemorrhage.Methods A total of 164 patients with hypertensive intracerebral hemorrhage who underwent surgical operation treated in Xinyang Central Hospital from January 2019 to December 2020 were selected as the study objects.According to preoperative whether to adopt the virtual orientation,the patients were divided into control group and observation group.The 84 patients with cerebral hemorrhage who underwent surgical operation from January 2019 to September 2019 were included in the control group,while the 80 patients with cerebral hemorrhage who underwent surgical operation with preoperative use of 3 D⁃slicer virtual orientation from October 2019 to December 2020 were included in the observation group.The free bone flap area,operation time,hematoma clearance rate,postoperative infection cases,hospital stay,Glasgow coma score(GCS)before and 1 week after surgery were compared between the two groups.Results The area of free bone flap in the observation group was smaller than that in the control group,the operation time and hospital stay were shorter,and the clearance rate of hematoma was higher than that in the control group,with significant difference(all P<0.05).At 1 week after surgery,GCS in both groups was higher than that before surgery,but there was no significant difference between the two groups(P>0.05).There was no significant difference in the number of postoperative infections between the two groups(P>0.05).Conclusions Preoperative virtual location after processing imaging data with 3D⁃Slice software is a simple,safe and effective method,which can improve the clinical prognosis of patients.
作者
孙伟
Sun Wei(Department of Neurosurgery,the Central Hospital of Xinyang,Xinyang 464000,China)
出处
《临床医学》
CAS
2024年第9期16-18,共3页
Clinical Medicine
