Effect of neuronavigation combined with 3D reconstruction technique guided neuroendoscopic hematoma removal on patients with hypertensive intracerebral hemorrhage

doi:10.11817/j.issn.1673-9248.2024.02.010

Abstract

Abstract:

Objective

To investigate the effect of neuronavigation combined with 3D reconstruction-guided neuroendoscopic hematoma removal on hypertensive intracerebral hemorrhage (HICH).

Methods

110 patients with hypertensive cerebral hemorrhage admitted to Gucheng County Hospital from January 2016 to January 2019 were included. According to different treatment methods, they were divided into the control group (general endoscopic treatment group, n=58) and the observation group (neuronavigation combined with 3D reconstruction technology-guided neuroendoscopic treatment group, n=52). The differences in therapeutic effect, postoperative complications, and prognosis between the two groups were compared.

Results

The operative duration and the amount of bleeding in the observation group were significantly less than those in the control group, and the hematoma clearance rate in the observation group was higher than that in the control group, with significant differences [(1.97±0.21) h vs (2.13±0.32) h，t=3.130, P=0.002; (152.69±20.67) ml vs (165.48±23.28) ml，t=3.032, P=0.003; (89.75±3.86)% vs (70.35±7.06)%, t=17.592, P＜0.001]. The rates of gastrointestinal bleeding and the intracranial rebleeding in the observation group were significantly lower than those in the control group (5.77% vs 20.69%, χ²=3.993, P=0.046; 3.85% vs 20.69%, χ²=5.568, P=0.018). There was no statistically significant difference in mRS grading between the two groups (P＞0.05).

Conclusion

Neuronavigation combined with 3D reconstruction technology can significantly improve the cure rate of HICH patients and reduce complications.

Key words: Neuronavigation, 3D reconstruction technology, Neuroendoscopy, Hematoma clearance, Hypertensive intracerebral hemorrhage

Yongbin Wang, Yanxun Jia, Yiguang Yin. Effect of neuronavigation combined with 3D reconstruction technique guided neuroendoscopic hematoma removal on patients with hypertensive intracerebral hemorrhage[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(02): 153-156.

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URL: https://zhnxgbzz.cma-cmc.com.cn/EN/10.11817/j.issn.1673-9248.2024.02.010

https://zhnxgbzz.cma-cmc.com.cn/EN/Y2024/V18/I02/153

Figures/Tables 4

组别	例数	性别（例）		年龄（岁， $x ¯$ ±s）	发病至手术的时间（h， $x ¯$ ±s）	出血量（ml， $x ¯$ ±s）	GCS评分（分， $x ¯$ ±s）	破入脑室［例（%）］	脑出血部位［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	发病至手术的时间（h， $x ¯$ ±s）	出血量（ml， $x ¯$ ±s）	GCS评分（分， $x ¯$ ±s）	破入脑室［例（%）］	左侧	右侧
对照组	58	31	27	52.17±13.26	10.34±3.56	48.67±8.25	9.35±2.19	10（17.24）	32	26
观察组	52	29	23	51.58±14.15	9.78±3.25	47.54±8.53	9.76±2.03	9（17.31）	26	26
统计值		χ²=0.060		t=0.226	t=0.858	t=0.706	t=1.015	χ²=0.080	χ²=0.294
P值		0.806		0.822	0.393	0.482	0.313	0.777	0.587

组别	例数	性别（例）		年龄（岁， $x ¯$ ±s）	发病至手术的时间（h， $x ¯$ ±s）	出血量（ml， $x ¯$ ±s）	GCS评分（分， $x ¯$ ±s）	破入脑室［例（%）］	脑出血部位［例（%）］
组别	例数	男	女	年龄（岁， $x ¯$ ±s）	发病至手术的时间（h， $x ¯$ ±s）	出血量（ml， $x ¯$ ±s）	GCS评分（分， $x ¯$ ±s）	破入脑室［例（%）］	左侧	右侧
对照组	58	31	27	52.17±13.26	10.34±3.56	48.67±8.25	9.35±2.19	10（17.24）	32	26
观察组	52	29	23	51.58±14.15	9.78±3.25	47.54±8.53	9.76±2.03	9（17.31）	26	26
统计值		χ²=0.060		t=0.226	t=0.858	t=0.706	t=1.015	χ²=0.080	χ²=0.294
P值		0.806		0.822	0.393	0.482	0.313	0.777	0.587

组别	例数	手术时间（h）	术中出血量（ml）	血肿清除率（%）
对照组	58	2.13±0.32	165.48±23.28	70.35±7.06
观察组	52	1.97±0.21	152.69±20.67	89.75±3.86
t值		3.130	3.032	17.592
P值		0.002	0.003	＜0.001

组别	例数	消化道出血	肺部感染	颅内再出血	电解质紊乱	颅内感染
对照组	58	12（20.69）	12（20.69）	12（20.69）	20（34.48）	2（3.45）
观察组	52	3（5.77）	7（13.46）	2（3.85）	15（28.85）	0（0）
χ²值		3.993	1.002	5.568	0.401	0.405
P值		0.046	0.317	0.018	0.526	0.524

组别	例数	0~1级	2~3级	4~5级	6级
对照组	58	39（67.24）	15（25.86）	3（5.17）	1（1.72）
观察组	52	36（69.23）	13（25.00）	2（3.85）	1（1.92）
Z值		0.136
P值		0.987

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