基于体表解剖标志的穿刺路径规划在老年丘脑内囊型出血引流术中的应用

doi:10.3969/j.issn.1003-9198.2024.11.010

Abstract

Abstract: Objective To evaluate the application value of puncture path planning based on surface anatomical markers in the elderly patients undergoing drainage surgery for thalamus and internal capsule hematoma. Methods The clinical data of 175 elderly patients with thalamus and internal capsule hematoma who underwent drainage surgery were retrospectively analyzed. Among them, 91 patients using surface anatomical landmarks to plan the puncture path for drainage were enrolled in the study group, and 84 patients receiving stereotactic hematoma drainage were enrolled in the control group. The differences in path planning time, postoperative rebleeding rate, catheter placement accuracy, hematoma clearance rate, postoperative concurrent hydrocephalus, treatment efficiency and good prognosis rate between the two groups were compared. Results The path planning time showed significant difference between the study group and the control group (7.4±2.6 min vs 40.5±10.5 min, P<0.01). There were no significant differences in catheter placement accuracy, postoperative rebleeding rate, hematoma clearance rate, postoperative concurrent hydrocephalus, treatment effectiveness and good prognosis rate between the study group and the control group (P>0.05). Conclusions The application of puncture path planning based on surface anatomical markers in the elderly patients undergoing drainage surgery for thalamus and internal capsule hematoma can shorten path planning time with accuracy. The surgical effect is consistent with stereotactic surgery.

Key words: aged, thalamus and internal capsule hematoma, surface anatomical markers, path planning, drainage

CLC Number:

R 743.3

JIA Baoming, ZHAO Jiankai, ZHANG Yanli, FENG Guoqiang, ZHOU Xiguang, PEI Hongsha, WANG Lizhen, KU Hongbin. Application of puncture path planning based on surface anatomical markers in elderly patients undergoing drainage surgery for thalamus and internal capsule hematoma[J]. Practical Geriatrics, 2024, 38(11): 1126-1130.

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Application of puncture path planning based on surface anatomical markers in elderly patients undergoing drainage surgery for thalamus and internal capsule hematoma

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