Original Article
Effect of 3D-slicer assisted soft channel drainage on surgical outcome and prognosis of patients with hypertensive cerebral hemorrhage
Xiong Jindan, Yan Fugen, Li Jiazhi, Ma Huaibin
Published 2019-10-05
Cite as Chin J Postgrad Med, 2019,42(10): 932-935. DOI: 10.3760/cma.j.issn.1673-4904.2019.10.016
Abstract
ObjectiveTo explore the effect of 3D-slicer assisted soft channel drainage on the surgical outcome and prognosis of patients with hypertensive cerebral hemorrhage (HICH).
MethodsSeventy-six HICH patients treated in Zhejiang Xin'an International Hospital from January 2016 to December 2018 were randomly divided into the control group and the observation group, with 38 cases in each group. Both groups of patients underwent percutaneous cone cranial soft channel drainage.The control group patients used CT hematoma localization, and the observation group patients used 3D-slicer software hematoma localization. The perioperative related data, surgical results, complications and prognosis of patients in the two groups were observed and compared.
ResultsThe operation time and hospitalization time of patients in observation group were (76.24 ± 11.24) min and (15.21 ± 4.01) d, significantly shorter than those in control group [(103.17 ± 17.43) min and (18.63 ± 4.75) d], and there were significant differences (P < 0.05). The blood loss during operation and hematoma residual amount 7 d after operation in observation group were (77.21 ± 11.35) ml and (4.24 ± 0.87) ml, significantly lower than those in control group [(115.35 ± 21.22) ml and (18.63 ± 4.75) ml], and there were significant differences (P < 0.05). The hematoma clearance of patients 1 d and 3 d after operation in observation group were (83.24 ± 11.21) ml and (92.24 ± 15.63) ml, significantly higher than those in control group [(69.67 ± 10.73) ml and (85.57 ± 13.11) ml], and there were significant differences (P < 0.05). The incidence rates of intracranial rebleeding, intracranial infection and pulmonary infection in observation group were significantly lower than those in control group [2.63%(1/38) vs. 21.05%(8/38), 0 vs. 15.79% (6/38), 2.63%(1/38) vs. 21.05%(8/38)](P < 0.05). After treatment for 3 months, the good prognosis rate in observation group was significantly higher than that in control group [86.84%(33/38) vs. 65.79% (25/38)] (P < 0.05).
Conclusions3D-slicer software based on percutaneous soft-channel puncture and drainage for HICH patients can achieve better surgical results, reduce the incidence of complications and improve the prognosis of patients.
Key words:
Intracranial hemorrhage, hypertensive; Percutaneous puncture and drainage of soft passage of cone cranium; 3D-slicer; Treatment outcome; Prognosis
Contributor Information
Xiong Jindan
Department of Neurosurgery, Zhejiang Xin′an International Hospital, Zhejiang Jiaxing 314000, China
Yan Fugen
Li Jiazhi
Ma Huaibin
