Feasibility of free-handed conical craniotomy and drainage guided by novel 16-slice mobile CT-assisted surface projection in supratentorial intracerebral hemorrhage and accuracy of catheter placement
10.3760/cma.j.cn115354-20200424-00305
- VernacularTitle:新型国产16层移动CT辅助体表定位法徒手锥颅穿刺引流治疗幕上深部脑出血的实用性及置管准确度评估
- Author:
Jinlong MAO
1
;
Ruxiang XU
;
Chunsen SHEN
;
Guozhen ZHANG
;
Ming LIANG
;
Yefeng HU
;
Yongchun LUO
Author Information
1. 解放军总医院第七医学中心神经外科，北京 100700
- Keywords:
Novel 16-slice mobile CT;
Surface projection;
Free-handed conical craniotomy and drainage;
Frameless stereotactic puncture;
Supratentorial intracerebral h
- From:
Chinese Journal of Neuromedicine
2020;19(9):941-946
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the feasibility of free-handed conical craniotomy and drainage guided by novel 16-slice mobile CT-assisted surface projection in patients with supratentorial intracerebral hemorrhage (sICH), and to evaluate the accuracy of catheter placement.Methods:Fifty-two sICH patients received free-handed conical craniotomy and drainage guided by novel 16-slice mobile CT-assisted surface projection in our hospital from January 2018 to December 2019 were chosen (free-handed conical craniotomy group); 30 sICH patients received frameless stereotactic puncture and drainage at the same time period were selected (stereotactic puncture group). The clinical data of these patients were retrospectively analyzed. The CT results were analyzed, and differences of relative error (RE) as the indicator of catheter placement accuracy were compared between the two groups.Results:Mobile CT was successfully performed in all patients from free-handed conical craniotomy group, and sufficient information was provided for surface projection in all patients. The percentages of patients with satisfactory results of catheter placement (RE<1) in the free-handed conical craniotomy group and stereotactic puncture group were 92.3% and 90.0%; one patients from the free-handed conical craniotomy group had repeated puncture. There was no significant difference in postoperative RE between the two groups (0.52±0.33 vs. 0.53±0.29, P>0.05). Subgroup analysis of different hematoma locations and volumes also showed no statistically significant difference in postoperative RE ( P>0.05). Conclusion:Free-handed conical craniotomy and drainage guided by novel 16-slice mobile CT-assisted surface projection is feasible in sICH patients, and the accuracy of catheter placement is similar with frameless stereotactic puncture and drainage.
