Clinical Analysis of 3D-slicer Combined with Smartphone-assisted Neuro-endoscopic Hematoma Evacuation for Hypertensive Intracerebral Hemor-rhage in Basal Ganglia
Objective To analyze the value of 3D-slicer combined with smartphone-assisted neuroendoscopic hema-toma evacuation in hypertensive basal ganglia hemorrhage.Methods A total of 100 patients with hypertensive intrace-rebral hemorrhage in basal ganglia treated by neurosurgery in Jinjiang Hospital(Fujian Hospital of Shanghai Sixth People's Hospital)from January 2020 to January 2024 were randomly selected as the research objects.According to the surgical methods,they were divided into control group and study group,with 50 cases in each group.The control group was treated with small bone window craniotomy for intracerebral hematoma removal,and the study group was treated with 3D-slice+smartphone-assisted neuroendoscopic hematoma removal.The operation effect,neurological function,prognosis,brain microcirculation index and complications of the two groups were analyzed.Results The length of surgery in the study group was longer than that in the control group,the intraoperative blood loss was less than that of the control group,and the hematoma clearance rate was higher than that of the control group,the differ-ences were statistically significant(all P<0.05).The neurological deficit score,Glasgow Coma Scale and Warlow Revi-sion Scale score were better than the control group,the differences were statistically significant(all P<0.05).The plate-let count and fibrinogen level in the study group were lower than that of the control group,the differences were statisti-cally significant(both P<0.05).The complication rate in the study group was 6.00%(3/50),lower than 20.00%(10/50)in the control group,the difference was statistically significan(χ2=4.332,P<0.05).Conclusion The application of 3D-slicer combined with smartphone-assisted neuroendoscopic hematoma evacuation in the treatment of hypertensive basal ganglia intracerebral hemorrhage has the advantages of short operation time,less bleeding and high hematoma clearance rate,the effective perfusion of cerebral microcirculation and the reduction of complication rate can signifi-cantly improve the long-term prognosis.
Hypertensive intracerebral hemorrhage in basal ganglia3D-slicer medical image informaticsSmartphone-assisted localizationCerebral microcirculationDegree of nerve injuryNeuroendoscopic hematoma evacuation
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