| Objectives Exploring the effect of 3D Slicer navigation in neuroendoscopy in the treatment of spontaneous cerebral hemorrhage.Methods A retrospective analysis of the clinical data of 89 patients with spontaneous cerebral hemorrhage admitted to the Department of Neurosurgery of the Affiliated Hospital of North China University of Technology from December 2018 to December2020.Among them,47 patients were in the 3D Slicer navigation-assisted neuroendoscopy treatment group and 42 patients were in the neuroendoscopy treatment group without 3D Slicer assistance.The preoperative hematoma volume,operation time,hematoma clearance rate,intraoperative blood loss,total hospitalization days,postoperative care unit days,postoperative lung infection,epilepsy,intracranial infection,and urinary tract infection incidence of the two groups of patients,and In-hospital mortality was compared and analyzed.The patients were followed up for 3 months,and the Glasgow Outcome Classification(GOS)was used to assess the prognosis of the patients.Results 1.In the 3D Slicer-assisted endoscopy group,there were 27 males and 20 females,aged 41-75 years old,average(56.06±8.84)years old,time from onset to admission(3.04±0.95)h,preoperative hematoma volume(48.17±12.95)m L,GCS score(7.13±1.28)points.There were 23 males and 19 females in the unassisted endoscopy group,aged 41-76 years old,average(58.64±9.10)years old,time from onset to admission(3.079±0.96)h,preoperative hematoma volume(46.93±14.24)m L,and admission GCS score(7.40±1.29)points.There were no statistically significant differences in age,gender,time from onset to hospital admission,preoperative hematoma volume,and GCS score between the two groups(P>0.05),indicating that the data between the two groups are comparable.2.Comparison of surgical effects between the two groups: 1)Compared with the two groups,the difference in surgical time was statistically significant,which were(107.72±26.87)min and(145.79 ± 27.48)min,t=6.601,P < 0.001,indicating 3D The slicer-assisted neuroendoscopy group has shorter operation time than the non-assisted neuroendoscopy group.2)Compared with the two groups of patients,the difference in intraoperative hematoma clearance rate was statistically significant,which were(92.53 ± 4.05)% and(87.83±4.96)%,t=-4.915,P<0.001,indicating that the 3D Slicer auxiliary nerve.The intraoperative hematoma clearance rate in the endoscopy group was higher than that in the unassisted endoscopy group.3)Compared with the two groups of patients,the difference in intraoperative blood loss was not statistically significant.They were(73.98±14.22)ml and(79.64±18.93)t=1.606,P=0.112,indicating that the 3D Slicer assisted neuroendoscopy group.There was no significant difference in intraoperative blood loss between the group and the unassisted endoscopy group.3.Comparing the two groups of patients,there was no statistically significant difference in postoperative days of hospitalization,days in the intensive care unit,postoperative epilepsy,postoperative intracranial infection rate,postoperative urinary tract infection rate,and mortality rate,P>0.05.Conclusions The use of 3D Slicer navigation assisted neuroendoscopy for the treatment of hypertensive cerebral hemorrhage in the basal ganglia area has a high clearance rate,a short intraoperative operation time,and a low incidence of postoperative lung infection,a good prognosis,and the method is safe and effective.This method also has a good side in teaching and is worthy of further clinical promotion.Figure18;Table2;Reference 115... |
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