【摘要】 目的 探讨新型“开放+桥基”式3D导板在精准穿刺引流术治疗高血压性脑出血中的应用疗效。方法 回顾分析2020年8月～2021年5月在我院住院的32例高血压性脑出血病例进行穿刺引流手术，对照组（n=16）采用传统CT定位下穿刺。实验组（n=16）在新型“开放+桥基”式3D导板引导下穿刺。比较两组的手术时间、靶点偏移距离及术后3日血肿清除率。结果 实验组手术时间（36.54±3.52）min、靶点偏移距离（0.30±0.03）cm、术后3日血肿清除率（91.16±2.22）%，优于对照组（40.52±3.50）min、（0.49±0.03）cm、（81.93±3.36）%，差异均具有统计学意义（P<0.05）。结论 高血压性脑出血患者在新型“开放+桥基”式3D导板引导下行穿刺术，定位精准，操作方便，安全可行，理论上可改善患者预后，具有推广意义。更多还原

【Abstract】 Objective To investigate the application effect of the new "open+bridge base" 3D guide in the treatment of hypertensive cerebral hemorrhage by precise puncture drainage. Methods A retrospective analysis was performed on 32 cases of hypertensive intracerebral hemorrhage collected in our hospital from August 2020 to May 2021. The control group(n=16) underwent puncture under traditional CT positioning. The experimental group(n=16) underwent puncture under the guidance of the new "open+bridge foundation" 3D guide plate. The operation time, target deviation distance and the clearance rate of hematoma 3days after operation were compared between the two groups. Results The operative time of the experimental group was(36.54±3.52) min, the target deviation distance was(0.30±0.03) cm, and the hematoma clearance rate was(91.16±2.22)%, which were better than those of the control group(40.52±3.50)min,(0.49±0.03) cm,(81.93±3.36)%. There were statistical differences in the above indexes(P<0.05).Conclusions The new "open+bridge base" type 3D guide for patients with hypertensive cerebral hemorrhage is, safe and feasible, with accurate positioning, which can theoretically improve the prognosis of patients, and has the significance of promotion.更多还原