ABSTRACT
Objective:
To explore the
clinical efficacy of spontaneous
intracerebral hemorrhage treated by minimally invasive
puncture assisted by image post-processing combined with
3D printing surgical guide plate.
Methods:
The clinical data of 76
patients with spontaneous
intracerebral hemorrhage admitted to Department of
Neurosurgery, First Affiliated
Hospital of Xinjiang Medical
University from January 2019 to January 2022 were retrospectively analyzed. According to different guiding ways at minimally invasive
puncture, they were divided into a
control group guided by imaging positioning ( n=43) and an
observation group guided by image post-processing combined with
3D printing surgical guide plate ( n=33). The differences of postoperative clinical efficacies were compared between the two groups, including one-
time puncture success rate,
puncture accuracy rate,
hematoma clearance rate on 3 rd d of
surgery,
postoperative complications, and
prognoses 3 months after
surgery.
Results:
Patients in the
observation group had significantly higher success rate of one-
time puncture (100.0% vs. 83.7%),
puncture accuracy (90.9% vs. 72.1%), effective
hematoma clearance on the 3 rd d of
surgery (93.9% vs. 76.7%), good
prognosis rate 3 month after
surgery (84.8% vs. 62.8%) than those of the
control group ( P<0.05). There was no significant difference in postoperative intracranial
infection (9.1% vs. 11.6%) or
puncture path
bleeding rate (6.1% vs. 9.3%) between the two groups ( P>0.05).
Conclusion:
minimally invasive
puncture assisted by image post-processing and 3D printed surgical guide plate can more accurately
puncture hematoma in the
treatment of spontaneous
intracerebral hemorrhage, and its
clinical efficacy is more satisfactory than the convention one; moreover, minimally invasive
puncture can help to achieve
treatment homogenization.
