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    张浩, 张旭, 丁茂华, 汤畅通, 姜德华, 陈杰. 3D打印联合DTI定位微创治疗高血压性脑出血的临床应用[J]. 徐州医科大学学报, 2023, 43(2): 96-100. DOI: 10.3969/j.issn.2096-3882.2023.02.004
    引用本文: 张浩, 张旭, 丁茂华, 汤畅通, 姜德华, 陈杰. 3D打印联合DTI定位微创治疗高血压性脑出血的临床应用[J]. 徐州医科大学学报, 2023, 43(2): 96-100. DOI: 10.3969/j.issn.2096-3882.2023.02.004
    shu
    ZHANG Hao, ZHANG Xu, DING Maohua, TANG Changtong, JIANG Dehua, CHEN Jie. Effect of 3D printing combined with DTI on hypertensive intracerebral hemorrhage[J]. Journal of Xuzhou Medical University, 2023, 43(2): 96-100. DOI: 10.3969/j.issn.2096-3882.2023.02.004
    Citation: ZHANG Hao, ZHANG Xu, DING Maohua, TANG Changtong, JIANG Dehua, CHEN Jie. Effect of 3D printing combined with DTI on hypertensive intracerebral hemorrhage[J]. Journal of Xuzhou Medical University, 2023, 43(2): 96-100. DOI: 10.3969/j.issn.2096-3882.2023.02.004
    shu

    3D打印联合DTI定位微创治疗高血压性脑出血的临床应用

    Effect of 3D printing combined with DTI on hypertensive intracerebral hemorrhage

      摘要
    • 摘要: 目的 评价3D打印联合磁共振弥散张量成像(DTI)定位钻孔治疗高血压性脑出血的临床疗效。方法 2017年1月—2022年1月对徐州市中心医院神经外二科46例高血压性脑出血患者行钻孔引流术,其中实验组21例采取了3D打印与DTI联合定位穿刺,对照组25例采用单纯3D打印定位穿刺治疗,比较2组临床疗效。结果 2组患者住院天数、住院费用、引流愈后效果、常见并发症以及死亡率经比较,差异无统计学意义(P>0.05);2组患者术后90 d的日常生活能力比较,实验组有效率(90.47%)高于对照组(72.00%),差异有统计学意义(P<0.05)。结论 3D打印联合DTI定位治疗高血压性脑出血可以改善患者预后,疗效优于单独使用3D打印定位穿刺,值得临床推广应用。

       

      Abstract: Objective To evaluate the clinical efficacy of 3D printing combined with magnetic resonance diffusion tensor imaging(DTI) and positioning drilling in the treatment of hypertensive intracerebral hemorrhage.Methods A total of 46 patients who suffered from intracerebral hemorrhage and underwent drilling and drainage from January 2017 to January 2022 were selected. The experimental group(n=21) was subjected to 3D printing and DTI, while the control group(n=25) were treated with 3D printing and positioning puncture alone. Both groups were compared for clinical effectiveness.Results There were no significant differences in the length of hospitalization stay, hospitalization expense, drainage effect, common complications and mortality between the two groups(P>0.05). The experimental group showed higher daily living ability than the control group(90.47% vs 72.00%, P<0.05).Conclusions Compared with 3D printing and positioning puncture, the combined use of 3D printing and DTI can effectively improve the prognosis of patients with hypertensive intracerebral hemorrhage.

       

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