Application of 3D slicer plus Sina software for performing hematoma puncture and drainage after local anesthesia in elderly patients with intracerebral hemorrhage
10.3760/cma.j.issn.0254-9026.2022.03.007
- VernacularTitle:3D slicer结合Sina软件在老年脑出血患者局部麻醉血肿穿刺引流术中的应用
- Author:
Lisha DENG
1
;
Xiaolin HOU
;
Dongdong YANG
;
Dingjun LI
;
Chengxun LI
;
Lin ZENG
;
Yuan YAO
Author Information
1. 成都中医药大学附属医院神经外科，成都 610000
- Keywords:
Cerebral hemorrhage;
Anesthesia local;
Punctures;
Sugical procedures, minimally invasive
- From:
Chinese Journal of Geriatrics
2022;41(3):276-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of minimally invasive hematoma puncture and drainage in the treatment of elderly patients with cerebral hemorrhage by using 3D slicer and Sina software to conduct 3D reconstruction and preoperative localization of intracerebral hematoma.Methods:A total of 74 elderly patients with a first-onset intracerebral hematoma aged ≥75 years, having surgical indications and stable vital signs were grouped into 3D slicer plus Sina software localization group(as group A, n=40)or CT localization group(as group B, n=34). Based on the localization, hematoma puncture and drainage were performed after local anesthesia.Preoperative preparation time, hematoma location, puncture success rate, postoperative hematoma clearance rate, postoperative re-bleeding rate and GCS score were statistically analyzed.Glasgow coma scale(GCS)scores were used in predicting the mortality.Results:The preoperative preparation time was significantly shorter in group A than in group B[(5.5±3.4)min vs.(8.5±2.7)min, t=3.337, P=0.001]. The success rate of hematoma puncture and drainage(90.0% and 70.6%, χ2=4.51, P=0.034)and postoperative hematoma clearance rate[(87.5±3.4)% and(80.3±2.7)%, t=10.10, P=0.000]were higher in group A than in group B. There were no significant differences in operative time, the accuracy of hematoma localization, re-bleeding rate and GCS score between the two groups( P>0.05). Conclusions:3D slicer plus Sina software can precisely locate the intracerebral hematoma, and minimally invasive hematoma puncture and drainage of intracerebral hematoma under local anesthesia were safe and effective in the treatment of elderly patients with intracerebral hemorrhage.
