Objective To investigate the relationship between 3D Slicer imaging hematoma parameters and the prognosis of soft-channel drainage for hypertensive intracerebral hemorrhage(HICH).Methods Selected sixty-nine patients with HICH who underwent soft-channel drilling and drainage treatment at the Affiliated Hospital of Youjiang Medical University for Nationalities from March 2019 to January 2022.Analyzed the cor-relation between 3D Slicer imaging hematoma parameters(such as hematoma volume,surface area,and regu-larity rate)and hematoma clearance rate.Additionally,we examined the predictive value of these parameters on the prognosis of soft-channel drainage in patients with HICH.Results Logistic multifactorial regression analysis showed that 3D Slicer-measured hematoma volume,hematoma surface regularity(SR),and Glasgow coma scale(GCS)score were independent factors affecting the prognosis of patients undergoing soft-channel drainage for HICH(P＜0.05).The results indicated a positive correlation between hematoma surface regu-larity and hematoma clearance(P＜0.05).Furthermore,the ROC curve analysis suggested that the sensitivi-ty,specificity,and AUC of SR for predicting the prognosis in patients undergoing soft-channel drainage for HIGH were 85.7％,73.5％,and 0.831,respectively.Conclusion Hematoma surface regularity(SR)is an independent factor influencing the poor prognosis of patients undergoing soft-channel drilling and drainage,demonstrating a high predictive value.
关键词
高血压脑出血/软通道钻孔引流术/3D/Slicer/血肿形态不规则
Key words
hypertensive cerebral haemorrhage/soft channel drilling and drainage/3D Slicer/irregular morphology
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