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接触式成像术中可视技术在高血压脑出血手术治疗中的应用效果

胡圆 邱兵 王湘赣 冯斯 袁雄 黄磊 陈飞军 张小军

临床医学工程2026,Vol.33Issue(5):509-513,5.
临床医学工程2026,Vol.33Issue(5):509-513,5.DOI:10.3969/j.issn.1674-4659.2026.05.0509

接触式成像术中可视技术在高血压脑出血手术治疗中的应用效果

Application Effect of Contact Imaging-Based Intraoperative Visualization Technology in the Surgical Treatment of Hypertensive Intracerebral Hemor-rhage

胡圆 1邱兵 1王湘赣 1冯斯 2袁雄 1黄磊 1陈飞军 1张小军1

作者信息

  • 1. 宜春市人民医院神经外科,,江西 宜春 336000
  • 2. 宜春市人民医院肾内科,江西 宜春 336000
  • 折叠

摘要

Abstract

Objective To investigate the application effect of contact imaging-based intraoperative visualization technology in the surgical treatment of hypertensive intracerebral hemorrhage(HICH).Methods A retrospective analysis was performed on the clinical data of 100 patients with HICH admitted to the Department of Neurosurgery of Yichun People's Hospital from January 2021 to August 2023.According to different surgical methods,the patients were divided into the control group(n=69)and the observation group(n=31).The control group received craniotomy for hematoma evacuation,while the observation group received craniotomy for hematoma evacuation assisted by contact imaging-based intraoperative visualization technology.The operation time,intraoperative blood loss,postoperative residual hematoma volume,and cerebral hematoma clearance rate were compared between the two groups.The patients were followed up for 12 months,and the Glasgow Outcome Scale(GOS)was used to evaluate the prognosis of the patients.The incidence of postoperative rebleeding was also statistically analyzed.Results The operation time of the observation group was shorter than that of the control group,and the intraoperative blood loss and postoperative residual hematoma volume were less than those of the control group(P<0.05).The near-total cerebral hematoma clearance rate of the observation group was higher than that of the control group,and the GOS grade was better than that of the control group(P<0.05).There were no statistically significant differences in the basic hematoma clearance rate,partial hematoma clearance rate,and incidence of postoperative rebleeding between the two groups(P>0.05).Conclusions The application of contact imaging-based intraoperative visualization technology in HICH surgery can shorten the operation time,reduce intraoperative blood loss and postoperative residual hematoma volume,improve the near-total cerebral hematoma clearance rate,and improve the long-term prognosis of patients,which has significant clinical application value.

关键词

接触式成像术中可视技术/高血压脑出血/开颅血肿清除术/应用效果

Key words

Contact imaging-based intraoperative visualization technology/Hypertensive intracerebral hemorrhage/Craniotomy for hematoma evacuation/Application effect

分类

医药卫生

引用本文复制引用

胡圆,邱兵,王湘赣,冯斯,袁雄,黄磊,陈飞军,张小军..接触式成像术中可视技术在高血压脑出血手术治疗中的应用效果[J].临床医学工程,2026,33(5):509-513,5.

基金项目

江西省卫生健康委科技计划(合同编号:202511171) (合同编号:202511171)

宜春市指导性科技计划项目(项目编号:JXYC2024KSA007) (项目编号:JXYC2024KSA007)

临床医学工程

1674-4659

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