中国临床解剖学杂志 ›› 2023, Vol. 41 ›› Issue (6): 733-737.doi: 10.13418/j.issn.1001-165x.2023.6.18

• 临床研究 • 上一篇    下一篇

新型“开放+桥基”式3D导板在高血压性脑出血穿刺中的研究

王佳妮#,    郭文杰#,    彭荣阳,    夏媛,    刘晶晶,    饶利兵,    万星光*,    李莉*   

  1. 湖南医药学院,  湖南  怀化    418000
  • 收稿日期:2023-07-06 出版日期:2023-11-25 发布日期:2023-12-27
  • 通讯作者: 李莉,高级实验师,E-mail: 1264690163@qq.com;万星光,副教授,E-mail: 414032018@qq.com
  • 作者简介:王佳妮(2002-),女,本科在读,主要研究方向:数字解剖与临床应用,E-mail:1300787434@qq.com;共同第一作者:郭文杰(1999-),男,本科在读,主要研究方向:数字医学与临床应用,E-mail:2640305982@qq.com
  • 基金资助:
    湖南省自然科学基金(2022JJ50292);怀化市数字解剖与3D打印临床转化研究重点实验室(2020R2201);湖南医药学院教学改革研究项目(2021JG39);横向课题:“开放+桥基”式3D导板在脑出血穿刺中的研究

Study on the new "open + bridge base" 3D guide in the puncture of hypertensive cerebral hemorrhage

Wang Jiani#, Guo Wenjie#, Peng Rongyang, Xia Yuan, Liu Jingjing, Rao Libing, Wan Xingguang*,Li Li*   

  1. Hunan University of Medicine, Huaihua 418000, Hunan Province, China
  • Received:2023-07-06 Online:2023-11-25 Published:2023-12-27

摘要: 目的    探讨新型“开放+桥基”式3D导板在精准穿刺引流术治疗高血压性脑出血中的应用疗效。  方法    回顾分析2020年8月~2021年5月在我院住院的32例高血压性脑出血病例进行穿刺引流手术,对照组(n=16)采用传统CT定位下穿刺。实验组(n=16)在新型“开放+桥基”式3D导板引导下穿刺。比较两组的手术时间、靶点偏移距离及术后3日血肿清除率。  结果    实验组手术时间(36.54±3.52)min、靶点偏移距离(0.30±0.03)cm、术后3日血肿清除率(91.16±2.22)%,优于对照组(40.52±3.50)min、(0.49±0.03)cm、(81.93±3.36)%,差异均具有统计学意义(P<0.05)。   结论    高血压性脑出血患者在新型“开放+桥基”式3D导板引导下行穿刺术,定位精准,操作方便,安全可行,理论上可改善患者预后,具有推广意义。

关键词: 3D导板; ,  , 脑出血; ,  , 穿刺引流术

Abstract: Objective    To investigate the application effect of the new "open + bridge base" 3D guide in the treatment of hypertensive cerebral hemorrhage by precise puncture drainage.   Methods   A retrospective analysis was performed on 32 cases of hypertensive intracerebral hemorrhage collected in our hospital from August 2020 to May 2021. The control group (n=16) underwent puncture under traditional CT positioning. The experimental group (n=16) underwent puncture under the guidance of the new "open + bridge foundation" 3D guide plate. The operation time, target deviation distance and the clearance rate of hematoma 3 days after operation were compared between the two groups.   Results   The operative time of the experimental group was (36.54±3.52) min, the target deviation distance was (0.30±0.03) cm, and the hematoma clearance rate was (91.16±2.22) %, which were better than those of the control group (40.52±3.50) min, (0.49±0.03) cm, (81.93±3.36) %. There were statistical differences in the above indexes (P<0.05).   Conclusions   The new "open+bridge base" type 3D guide for patients with hypertensive cerebral hemorrhage is , safe and feasible, with accurate positioning, which can theoretically improve the prognosis of patients, and has the significance of promotion.

Key words: 3D guide; ,  , Intracranial hemorrhage; ,  , Puncture drainage

中图分类号: