Application of Surgical Navigation and Positioning System in Puncture and Drainage of Hypertensive Intracerebral Hemorrhage
Objective:To explore the clinical value of applying minimally invasive soft-channel haematoma puncture and drainage with neurosurgical navigation and positioning system-assisted positioning in elderly hypertensive intracerebral hemorrhage(HICH)patients,and to analyse its safety.Method:The clinical data of 86 elderly patients(aged≥60 years)with HICH admitted to Qianxinan People's Hospital from January to October 2023 were retrospectively analyzed,all patients had clear surgical indications and underwent minimally invasive soft-channel hematoma puncture and drainage.According to the auxiliary positioning methods,43 patients with conventional CT examination and positioning method were selected as the control group,and 43 patients with RM-200 neurosurgery navigation and positioning system assisted positioning were selected as the observation group.Operation time,intraoperative blood loss,drainage tube removal time,hematoma clearance,national institutes of health stroke scale(NIHSS)score,Glasgow coma scale(GCS)score,and complications were compared between the two groups.Result:The operation time of the observation group was shorter than that of the control group,the drainage tube removal time was earlier than that of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The NIHSS score and GCS score of the observation group were lower than those of the control group,and the total incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).1 and 3 d after operation,the hematoma clearance rates in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05);5 d after operation,there was no significant difference in the clearance rate of hematoma between the two groups(P>0.05).Conclusion:In the treatment of minimally invasive soft-channel hematoma puncture and drainage in elderly patients with HICH,assisted positioning by surgical navigation and positioning system can improve the efficiency of surgery,improve the clearance of hematoma in the short term,reduce the intraoperative blood loss and the risk of postoperative complications,and also have a positive impact on the early improvement of coma symptoms and neurological function injury.
Hypertensive intracerebral hemorrhageNeurosurgical navigation and positioning systemMinimally invasive soft-channel hematoma puncture and drainageHematoma clearance rate
万方数据
维普
