| 摘要: |
| 目的 探索长轴穿刺对立体定向脑出血手术中血肿清除率的影响。方法 选取2019年1月至2023年12月间在宁波市医疗中心李惠利医院神经外科接受立体定向颅内血肿清除术的自发性脑出血患者，回顾性分析患者的临床数据和影像资料。根据是否按血肿长轴穿刺分为两组，采用3D Slicer软件计算血肿体积和表面积，并分析术后血肿清除率及残余血肿体积。结果 研究共纳入144例患者，倾向评分匹配后，长轴穿刺组血肿清除率为66.7%，显著高于非长轴穿刺组的53.6%（P=0.016）。长轴穿刺组术后残余血肿体积为10.7ml，显著低于非长轴穿刺组的20.3ml（P=0.041）。结论 按血肿长轴穿刺能够提高血肿清除率，减少残余血肿量，可能有助于改善患者的功能预后。 |
| 关键词: 立体定向 脑出血 长轴穿刺 |
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| 基金项目:浙江省医药卫生科技计划项目 |
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| The impact of long-axis puncture on hematoma clearance rates in stereotactic surgery for intracerebral hemorrhage |
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Lou Lingdong, Li Shiwei, Wang Hongcai, Chen Maosong
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Ningbo Medical Center Lihuili Hospital
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| Abstract: |
| Objective To explore the impact of long-axis puncture on hematoma clearance rates in stereotactic surgery for intracerebral hemorrhage. Methods A retrospective analysis was conducted on patients with spontaneous intracerebral hemorrhage who underwent stereotactic hematoma evacuation at Ningbo Medical Center Lihuili Hospital from January 2019 to December 2023. Patients were divided into two groups based on whether the puncture followed the long axis of the hematoma. Hematoma volume and surface area were calculated using 3D Slicer software, and postoperative hematoma clearance rates and residual hematoma volumes were analyzed. Results A total of 144 patients were included in the study. After propensity score matching, the long-axis puncture group had a significantly higher hematoma clearance rate (66.7%) compared to the non-long-axis puncture group (53.6%) (P=0.016). The median residual hematoma volume in the long-axis puncture group was 10.7 ml, significantly lower than that of the non-long-axis puncture group (20.3 ml) (P=0.041). Conclusion Long-axis puncture significantly improves hematoma clearance rates and reduces residual hematoma volume, which may help improve patients' functional prognosis. |
| Key words: stereotactic,intracerebral hemorrhage,long-axis puncture |