3D打印手术导板结合混合现实技术在复杂高血压脑出血穿刺引流术中的临床应用
Clinical application of 3D printed surgical guide plate combined with mixed reality technology in the puncture and drainage of complex hypertensive intracerebral hemorrhage
鲁春鹤 1徐静 1熊锴 1彭进 1黄伟明 1陈宏权 1柳清洋1
作者信息
- 1. 南方科技大学医院神经外科,广东 深圳 518055
- 折叠
摘要
目的 研究3D打印手术导板+混合现实技术运用于复杂高血压脑出血穿刺引流术中的价值.方法 选择我院2021年4月至2022年8月收住的复杂高血压脑出血患者110例作为观察对象,按随机列表法进行分组,各纳入55例,均于我院接受穿刺引流术,研究组采取3D打印手术导板+混合现实技术,对照组采取CT影像定位穿刺,比较两组术前准备、手术及住院时长,医疗费用,总有效率,全血高切黏度,全血低切黏度,神经功能缺损评分(NDS),通用生活质量量表-74(GQOLI-74)评分,血肿清除率,穿刺准确率,并发症等.结果 研究组术前准备、手术及住院时长均短于对照组,且医疗费用低于对照组(P<0.05).研究组总有效率为98.18%,高于对照组的83.64%;治疗前全血高切黏度、全血低切黏度比较,差异无统计学意义(P>0.05),治疗后3、7 d对比,较治疗前降低,差异有统计学意义(P<0.05),研究组低于对照组,差异有统计学意义(P<0.05).治疗前各组的NDS、GQOLI-74评分差异无统计学意义(P>0.05),治疗后,研究组NDS低于对照组,GQOLI-74评分高出对照组(P<0.05).研究组血肿清除率、穿刺准确率高出对照组,并发症发生率较对照组更低(P<0.05).结论 3D打印手术导板+混合现实技术在穿刺引流术中效果更为理想,可缩短住院天数,减轻对血液流变学影响,改善神经功能,且穿刺准确率及血肿清除率较高,并发症少,患者生活质量明显提升.
Abstract
Objective To study the value of 3D printed surgical guide plate and mixed reality technology in the puncture and drainage of complex hypertensive intracerebral hemorrhage.Methods A total of 110 patients with complex hypertensive intracerebral hemorrhage who were admitted into our hospital from April 2021 to August 2022 were selected as subjects and further randomly divided into two groups,namely the research group(55 cases)and the control group(55 cases).Both groups underwent the puncture and drainage surgery in our hospital.To distinguish between them,the research group adopted the 3D printed surgical guide plate+mixed reality technology while the control group received puncture with CT-guided localization.In addition,preoperative preparation,length of surgery and hospital stay,medical expenses,total effective rate,both high and low resection viscosity of whole blood,neurological deficit score(NDS),the generic quality of life inventory-74(GQOLI-74)score,hematoma clearance rate,puncture accuracy,complications,etc.Results Length of preoperative preparation,surgery and hospital stay of the study group was shorter than that of the control group,and the medical cost of the study group was lower than that of the control group(P<0.05).Total effective rates of the study group and control group were 98.18%and 83.64%,the former being higher than the latter.Additionally,in both groups,before treatment,high and low resection viscosity of whole blood showed insignificant difference(P>0.05).By contrast,3 and 7d after treatment,above two identical indicators upregulated and displayed significant difference statistically(P<0.05).Furthermore,expression levels of the two indexes were lower in the study group than in the control group.Prior to therapy,NDS and GQOLI-74 score in both groups were not significantly different(P>0.05).After treatment,NDS of the study group was lower than that of the control group while GQOLI-74 score was the opposite,difference between being statistically significant(P<0.05).Besides,the hematoma clearance rate and puncture accuracy of the study group were higher than that of the control group while incidence rate was the opposite,difference between being statistically significant(P<0.05).Conclusion 3D printed surgical guide plate+mixed reality technology manifested more ideal effect in puncture and drainage,which could shorten the length of hospital stay,reduce the impact on blood rheology and improve neuronal function.Moreover,puncture accuracy and hematoma clearance rate were upregulated accompanied with less complications in this method,contributing to apparently enhanced life quality of patients.
关键词
高血压脑出血/3D打印手术导板/混合现实技术/穿刺引流术Key words
Hypertensive cerebral hemorrhage/3D printed surgical guide plate/Mixed reality technology/Puncture and drainage surgery引用本文复制引用
基金项目
广东省基础与应用基础研究基金项目(2021A1515010115)
南方科技大学医院院长研究基金(2021-C8)
出版年
2024
NETL
NSTL
万方数据