3D打印导板辅助微创穿刺引流术治疗急性脑出血的临床研究OA

Objective To analyze the curative effect of minimally invasive puncture drainage assisted with 3D printing guide plate and its influences on the prognosis of acute cerebral hemorrhage.Methods A total of 112 patients with acute cerebral hemorrhage admitted to Qinhuangdao First Hospital between January 2022 and January 2025 were enrolled.According to random number table method,they were divided into routine group(puncture under CT plain scan positioning)and 3D-assisted minimally invasive group(minimally invasive puncture drainage assisted with 3D printing guide plate),56 cases in each group.The operation time,intraoperative blood loss,postoperative drainage time,postoperative length of hospital stay,clinical curative effect,accuracy rate of hematoma puncture,hematoma clearance rate,complications and prognosis at 14th day after surgery were compared between the two groups.The nerve function was evaluated by National Institutes of Health stroke scale(NIHSS)and Glasgow coma scale(GCS)before and at 14th day after surgery.Results The operation time,intraoperative blood loss,postoperative drainage time and postoperative length of hospital stay in the 3D-assisted minimally invasive group were lower than those in the routine group(P<0.05).The total response rate in the 3D-assisted minimally invasive group was higher than that in the routine group(P<0.05).At 14th day after surgery,NIHSS score in the 3D-assisted minimally invasive group was lower than that in the routine group,and GCS score was higher than that in the routine group(P<0.05).The accuracy rate of hematoma puncture and hematoma clearance rate in the 3D-assisted minimally invasive group were higher than those in the routine group(P<0.05).There was no significant difference in total incidence of complications between the two groups at 14th day after surgery(P>0.05).There was no significant difference in prognosis between the two groups(P>0.05).Conclusion Minimally invasive puncture drainage assisted by 3D printed guide plates not only effectively shorten the operation and hospitalization cycle,but also accurately improve the puncture hit rate and clearance efficiency of hematoma,which ultimately translates into an improvement in the patient's neurological function prognosis,showing significant clinical application value.