Correlation analysis of hematoma parameters on 3D Slicer imaging of hypertensive cerebral hemorrhage and patient prognosis after soft channel drainage
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.
hypertensive cerebral haemorrhagesoft channel drilling and drainage3D Slicerirregular morphology