3D打印导航辅助下神经内镜血肿清除术治疗高血压脑出血患者对血肿清除率术后恢复及预后的影响

doi:10.3969/j.issn.1006-6233.2024.11.020

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摘要 目的:探究3D打印导航辅助下神经内镜血肿清除术治疗高血压脑出血(HICH)患者对血肿清除率、术后恢复及预后的影响。方法:回顾性分析2020年3月至2023年9月期间在我院治疗HICH患者的临床资料,将接受CT指导下神经内镜血肿清除术治疗的51例患者纳入对照组,将予以3D打印导航辅助下神经内镜血肿清除术治疗的51例患者纳入观察组。比较两组患者的手术情况、术后恢复情况和术后并发症发生情况。比较术前和术后1周时的血流动力学指标、脑部神经功能指标,并评估患者预后情况。结果:观察组除血肿清除率明显高于对照组外,其余各项手术情况指标及术后恢复情况指标均低于对照组(P<0.05)。术后1周内,两组的术后并发症发生率差异无统计学意义(P>0.05)。术后1周时,两组患者除NSE值较治疗前显著降低;其余的血流动力学指标及脑部神经功能指标均较治疗前显著提高,且观察组手术前后差值绝对值高于对照组(P<0.05)。观察组患者的GOS评分高于对照组(P<0.05)。结论:3D打印导航辅助下神经内镜血肿清除术能够有助于HICH患者恢复和预后,血肿清除率高,显著改善血流动力学指标和脑部神经功能指标,并发症的风险低。

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关键词 ： 3D打印导航, 神经内镜血肿清除术, 高血压脑出血, 血肿清除率, 术后恢复, 预后

Abstract：Objective: To explore the influence of 3D printing navigation-assisted neuroendoscopic hematoma evacuation on hematoma clearance rate, postoperative recovery, and prognosis in patients with hypertensive intracerebral hemorrhage (HICH).Methods: The clinical data of HICH patients admitted to our hospital from March 2020 to September 2023 were retrospectively analyzed. Among the patients, 51 who received CT-guided neuroendoscopic hematoma evacuation were included in control group, and another 51 who were given 3D printing navigation-assisted neuroendoscopic hematoma evacuation were enrolled as observation group. The surgical status, postoperative recovery status and occurrence of postoperative complications, hemodynamic indicators, and brain neurological function indicators before surgery and at 1 week after surgery were compared between the two groups, and the prognosis was evaluated.Results: In observation group, except that the hematoma clearance rate was significantly higher than that in control group, the other surgical indicators and postoperative recovery indicators were lower than those in control group (P<0.05). Within 1 week after surgery, there were no statistical differences in the incidence rates of postoperative complications between groups (P>0.05). At 1 week after surgery, the NSE in the two groups was significantly enhanced than that before treatment, and the other hemodynamic indicators and brain nerve function indicators were significantly risen compared with those before treatment, and absolute values of pre- and post-operative differences were higher in the observation group than in the control group (P<0.05). The GOS score in observation group was higher than that in control group (P<0.05).Conclusion: 3D printing navigation-assisted neuroendoscopic hematoma evacuation can contribute to the recovery and prognosis of HICH patients, and has high hematoma clearance rate, and it can significantly improve the hemodynamic indicators and brain neurological function indicators, and has low risk of complications.

Key words： 3D printing navigation Neuroendoscopic hematoma evacuation Hypertensive intracerebral hemorrhage Hematoma clearance rate Postoperative recovery Prognosis

基金资助:陕西省重点研发计划项目,(编号:S2021-YF-YBSF-0491)

通讯作者: 胡国良

引用本文:

柴磊, 马刘佳, 高飞, 刘福德, 胡国良. 3D打印导航辅助下神经内镜血肿清除术治疗高血压脑出血患者对血肿清除率术后恢复及预后的影响[J]. 河北医学, 2024, 30(11): 1863-1867.
CHAI Lei, MA Liujia, GAO Fei, et al. Influence of 3D Printing Navigation-Assisted Neuroendoscopic Hematoma Evacuation on Hematoma Clearance Rate Postoperative Recovery and Prognosis in Patients with Hypertensive Intracerebral Hemorrhage. HeBei Med, 2024, 30(11): 1863-1867.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2024.11.020 或 http://www.hbyxzzs.cn/CN/Y2024/V30/I11/1863

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