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| Clinical application of 3D-slicer combined with Sina/MosoCam assisted neuroendoscopy in the treatment of supratentorial hypertensive intracerebral hemorrhage |
| WANG Wenju1* WU Yuanshan2* CAI Qiang1▲ LI Zhiyang1 SONG Ping1 WEI Hangyu1 ZHOU Long1 LEI Pan1#br# |
1.Department of Neurosurgery, People Hospital of Wuhan University, Hubei Province, Wuhan 430060, China;
2.the Second Department of Surgery, the Second People’s Hospital of Macheng City, Hubei Province, Huanggang 438300, China |
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Abstract Objective To investigate the clinical application and efficacy of 3D-slicer combined with Sina/MosoCam assisted neuroendoscopy in the treatment of supratentorial hypertensive intracerebral hemorrhage. Methods A total of 50 patients with supratentorial hypertensive intracerebral hemorrhage admitted to the Department of Neurosurgery, People Hospital of Wuhan University from June 2019 to September 2021 were selected. According to the design and selection of surgical approach, the patients were divided into 3D-slicer group (21 cases) and CT group (29 cases). CT group used CT-assisted localization, in the 3D-slicer group, 3D-slicer combined with Sina/MosoCam software was used for surgical approach design and selection. The hematoma clearance rate on the 1st postoperative day, operation time, postoperative rebleeding rate, catheterization time, intracranial infection rate, Glasgow coma scale (GCS) score and modified Rankin scale (mRS) score at discharge were compared between the two groups. Results There was no rebleeding in the two groups. There were statistically significant differences in hematoma clearance rate and operation time between two groups (P < 0.05). There were no significant differences in intracranial infection, catheterization time, discharge GCS score, and mRS score between two groups (P > 0.05). Conclusion 3D-slicer combined with Sina/MosoCam software assisted neuroendoscopy in the treatment of hypertensive intracranial hemorrhage has guiding significance in preoperative surgical approach design and postoperative evaluation, and has certain advantages in overall efficacy.
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