3D slicer软件辅助神经内镜微创手术治疗高血压脑出血的临床效果

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Abstract ObjectiveTo explore the methods and clinical effects of 3D slicer software assisted minimally invasive surgery in the treatment of hypertensive intracerebral hemorrhage.MethodsFrom August 2016 to June 2017,30 hypertensive patients with cerebral hemorrhage in basal ganglia region in our hospital were selected and divided into the endoscopic surgery group and the craniotomy group according to different therapeutic methods,15 cases in each group.The endoscopic surgery group was treated with 3D slicer software for three-dimensional reconstruction of hematoma andsimulation of surgical approach guiding endoscopic removal of hematoma.In the craniotomy group,conventional bone flap craniotomy for hematoma clearance under the microscope was adopted.The hematoma clearance rate,operation time and mRS score of the two groups were compared.ResultsThe hematoma clearance rate in the endoscopic surgery group was(91.5±5.5)%,which was higher than that in the craniotomy group([85.3±6.8]%),with significant difference(P＜0.05).The operation time in the endoscopic surgery group was(1.6±0.6)h,which was shorter than that in the craniotomy group(4.8±1.4)h,with significant difference (P＜0.05).Three months after surgery,the mRS score in the endoscopic surgery group was(3.3±1.4)points,which was lower than that of the craniotomy group([4.3±1.7]points),with significant difference (P＜0.05).ConclusionApplication of 3D slicer software to assist neuroendoscopic minimal-invasion surgery in the treatment of hypertensive intracerebral hemorrhage can improve hematoma clearance rate,shorten operation time by precise surgical approach.The prognosis of patients in the endoscopic surgery is superior to that by craniotomy for hematoma clearance under the microscope.

Key words： Cerebral hemorrhage Hypertension Neuroendoscopy 3D slicer Operation

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	YI Jian-bo
	FAN Xue-zheng
	HUANG Jin-neng
	LI Ya-ping

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YI Jian-bo,FAN Xue-zheng,HUANG Jin-neng, et al. Clinical effect of 3D slicer software assisted minimally invasive endoscopic neuroendoscopic surgery on treating hypertensive intracerebral hemorrhage[J]. 中国当代医药, 2018, 25(4): 4-7.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I4/4

[1]	Sacco S，Marini C，Toni D，et al.Incidence and 10-year survival of intracerebral hemorrhage in a population-based registry[J].Stroke，2009，40（2）：394-399.
[2]	汪奇柏，郑超，何建国，等.高血压脑出血的高危因素调查及应用研究[J].中国临床医生杂志，2017，45（2）：50-53.
[3]	Egger J，Kapur T，Fedorov A，et al.GBM volumetry using the 3D Slicer medical image computing platform[J].Sci Rep，2013，3：1364.
[4]	曾文晔，方路平，万铮杰.医学图像处理平台3D Slicer的国际化方法[J].计算机系统应用，2013，22（7）：7-11.
[5]	李芳芳，罗丹，谢鹏.高血压脑出血患者短期预后的影响因素[J].中国老年学杂志，2012，32（16）：3423-3424.
[6]	Li Y，Zhang H，Wang X，et al.Neuroendoscopic surgery versus external centricular drainage alone or with intraventricular fibrinolysis for intraventricular hemorrhage scondary to spontaneous supratenorial hemorrhage：a systematicreview and meta-analysis[J].PLoS One，2013，8（11）：e80599.
[7]	徐永强，刘超，王阳洋，等.高血压脑出血后脑水肿的治疗进展[J].中国老年学杂志，2014，34（1）：281-283.
[8]	季祥举.老年高血压脑出血98例急诊微创手术治疗的疗效[J].中国老年学杂志，2012，32（12）：2458-2459.
[9]	邱学才，常魏，张丽娟.发病后不同时间手术治疗高血压脑出血的临床研究[J].现代预防医学，2014，41（4）：757-759.
[10]	刘宏浩，王少雄，黄程，等.不同手术时机治疗高血压脑出血的对比分析研究[J].重庆医学杂志，2012，32（12）：2458-2459.
[11]	Morgenstern LB，HemphIill JC 3rd，Anderson C，et al.Guidelines for the management of spontaneous intracerebral hemorrhage：a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J].Stroke，2010，41（9）：2108-2129.
[12]	邓发斌，游潮，李浩.高血压脑出血手术治疗临床疗效分析及评价[J].现代预防医学，2011，38（18）：3822-3825.
[13]	Steiner T，Al-Shahi Salman R，Beer R，et al.European stroke organisation （ESO）guidelines for the management of spontaneous intracerebral hemorrhage[J].Int J Stroke，2014，9（7）：840-855.
[14]	张福征，王才永，张磊，等.神经内镜与开颅手术治疗高血压脑出血的疗效比较[J].中华神经外科杂志，2015，31（1）：20-21.
[15]	熊建平，李炯，陈玄斌.立体定向软通道微创治疗高血压脑出血的临床疗效[J].中国实用神经疾病杂志，2016，19（10）：15-17.
[16]	Auer LM，Deinsberger W，Niederkorn K，et al.Endoscopic surgery versus medical treatment for spontaneous intracerebral hematoma：a randomized study[J].J Neurosurg，1989，70（4）：530-535.
[17]	范学政，游潮.国内高血压脑出血微创血肿清除手术治疗现状及趋势[J].中华神经医学杂志，2017，16（9）：1671-8952.
[18]	葛新，陈晓雷，孙吉庆，等.神经内镜微创手术与开颅血肿清除术治疗高血压脑出血疗效比较[J].中国神经精神疾病杂志，2016，42（10）：605-608.
[19]	谢国强，师蔚，陈尚军，等.3D-slicer软件在高血压脑出血神经内镜微创手术治疗的应用价值[J].中国微侵袭神经外科杂志，2017，22（3）：109-111.
[20]	葛新，陈晓雷，孙吉庆，等.简易导航下神经内镜经kocher点额中回入路微创手术治疗丘脑出血破入脑室[J].中国神经精神疾病杂志，2017，43（3）：176-179.