首页|高血压脑出血3D Slicer影像学血肿参数与软通道引流术后患者预后的相关性分析

高血压脑出血3D Slicer影像学血肿参数与软通道引流术后患者预后的相关性分析

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目的 探讨3D Slicer影像学血肿参数与高血压脑出血(hypertensive intracerebral hemorrhage,HICH)软通道引流术预后的关系.方法 选取2019年3月至2022年1月在右江民族医学院附属医院接受软通道钻孔引流术治疗的69例HICH患者为研究对象,分析3D Slicer影像学血肿参数(血肿体积、表面积、规则率等)与血肿清除率的相关性.分析HICH患者的3D Slicer影像学血肿参数(血肿体积、表面积、规则率等)对软通道引流术预后的预测价值.结果 Logis-tic 多因素回归分析显示,3D Slicer测量血肿体积、血肿表面规则率(SR)、入院格拉斯哥评分(GCS)是影响HICH软通道引流术患者预后的独立因素(P<0.05),分析结果呈正相关(P<0.05).ROC曲线结果提示SR预测HICH软通道引流术患者预后的灵敏度、特异度、AUC分别为85.7%、73.5%、0.831.结论 SR是行软通道钻孔引流术患者不良预后的影响因素并有较高的预测价值.
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

林永雙、栗学玉、龚政源、黄海能

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右江民族医学院附属医院神经外科,广西 百色 533000

右江民族医学院研究生学院,广西 百色 533000

高血压脑出血 软通道钻孔引流术 3D Slicer 血肿形态不规则

广西壮族自治区卫生健康委员会自筹经费科研课题

Z-L20220875

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(3)