摘要：目的" 研究3D Slicer软件辅助定位在高血压脑出血微创钻孔引流术中的效果。方法" 选取2020年6月-2023年5月赣南医学院第三附属医院行微创钻孔引流手术的60例高血压脑出血患者为研究对象，采用随机数字表法分为对照组和观察组，各组30例。对照组采用单纯CT方法定位，观察组采用3D Slicer辅助定位穿刺，比较两组临床手术指标(手术时间、血肿清除率、术中出血量)、格拉斯哥昏迷评分(GCS)、日常生活活动能力评分(ADL)、格拉斯哥预后评分(GOS)、神经功能缺损评分(NIHSS)、并发症发生率。结果" 观察组手术时间短于对照组，术中出血量少于对照组，血肿清除率大于对照组(P<0.05)；两组术后GCS评分、ADL评分、GOS评分高于术前，NIHSS评分低于术前，且观察组GCS评分、ADL评分、GOS评分高于对照组，NIHSS评分低于对照组(P<0.05)；观察组并发症发生率为6.67%，低于对照组的20.00%(P<0.05)。结论" 利用3D Slicer软件辅助定位在高血压脑出血微创钻孔引流手术治疗中的效果理想，可降低并发症发生率，促进神经功能缺损恢复，改善患者日常生活能力和手术指标，利于良好预后的形成。

    关键词：3D Slicer软件；高血压脑出血；微创钻孔引流术

    中图分类号：R651.1" " " " " " " " " " " " " " " 文献标识码：A" " " " " " " " " " " " " " " " " "DOI：10.3969/j.issn.1006-1959.2024.18.019

    文章编号：1006-1959(2024)18-0100-04

    Abstract：Objective To study the effect of 3D Slicer software-assisted positioning in minimally invasive drilling and drainage for hypertensive cerebral hemorrhage.Methods" A total of 60 patients with hypertensive cerebral hemorrhage who underwent minimally invasive drilling and drainage in the Third Affiliated Hospital of Gannan Medical University from June 2020 to May 2023 were selected as the research objects. They were divided into control group and observation group by random number table method ......