Three-dimensional reconstruction of CT imaging in endoscopic surgery of patients with hypertensive intracerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2011.03.016
- VernacularTitle:神经内镜高血压脑出血微创手术的三维重建手术定位
- Author:
Yi-Zhao CHEN
1
;
Bo-Miao LIN
;
Ru-Xiang XU
;
Yong-Geng NIE
;
Li-Ke SAI
;
Xiang-Yu WANG
;
Shi-Zhong ZHANG
;
Yi-Quan KE
Author Information
1. 南方医科大学珠江医院
- Keywords:
Intracerebral hemorrhage;
Neurosurgery;
Neuroendoscopy
- From:
Chinese Journal of Neuromedicine
2011;10(3):280-283
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a simple, fast and accurate preoperative planning method for endoscopic surgery of patients with hypertensive intracerebral hemorrhage (HICH).Methods Eighteen patients with HICH, admitted to our hospital from June 2008 to August 2010, were performed endoscopic minimally invasive surgery; CT three-dimensional reconstruction was employed to locate the intracerebral hematoma and select the appropriate endoscopic approach before the endoscopic surgery.The clinical data and treatmem efficacy were analyzed.Results According to the results of CT three-dimensional reconstruction, our neurosurgeons could design the best endoscopic approach; the three-dimensional relationship between intracerebral hematoma and scalp markers was shown directly and accurate positioning of the location of drilling was achieved; therefore, the time for preoperative preparation, anesthesia and operation was shortened. The mean operating time of these 18 patients was about 1.5 h; the volume of blood loss was only 30-40 mL; and the evacuation ratio was about 89.2%.After the elimination of hematoma, the brain tissues were flabby, so decompressive craniectomy was not needed. Conclusion CT three-dimensional reconstruction is a simple, fast and accurate preoperative planning method for endoscopic surgery of patients with HICH.
