Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage
BackgroundIntracerebral hemorrhage (ICH) is the deadliest subtype of stroke, with a 30-day case fatality rate of approximately 40%. Timely and accurate treatment is essential to facilitate recovery. The introduction of stereotactic instruments and navigation systems has greatly improved the accuracy...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2023.1198564/full |
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| author | Hongwei Zhao Hongwei Zhao Hongwei Zhao Tao Zhang Min Li Yang Gao Shuangquan Wang Rongcai Jiang Rongcai Jiang Rongcai Jiang Zefu Li |
| author_facet | Hongwei Zhao Hongwei Zhao Hongwei Zhao Tao Zhang Min Li Yang Gao Shuangquan Wang Rongcai Jiang Rongcai Jiang Rongcai Jiang Zefu Li |
| author_sort | Hongwei Zhao |
| collection | DOAJ |
| description | BackgroundIntracerebral hemorrhage (ICH) is the deadliest subtype of stroke, with a 30-day case fatality rate of approximately 40%. Timely and accurate treatment is essential to facilitate recovery. The introduction of stereotactic instruments and navigation systems has greatly improved the accuracy of surgical treatment. In this study, we explored the application and effects of a three-dimensional (3D) laser combined with C-arm computed tomography (CT) on ICH puncture.Materials and methodsAccording to the principle of randomness, 118 patients with ICH were divided into control and experimental groups. The control group was treated with CT-guided puncture, and the experimental group was treated with 3D laser combined with C-arm CT puncture. The hematoma clearance rates at 3, 5, and 7 days after surgery and the prognosis at 1, 3, and 6 months after surgery were compared between the two groups.ResultsThe hematoma clearance rates of the group using 3D laser combined with C-arm CT at 3, 5, and 7 days after surgery were significantly higher than those of the control group, and the difference was statistically significant (p < 0.05). One month postoperatively, the daily living ability (ADL) grading and recovery of the patients in the test group was significantly better than those of the control group (p < 0.05), but there was no statistically significant difference in ADL 3 and 6 months after surgery (p > 0.05).Conclusion3D laser combined with C-arm CT puncture has the advantages of real-time guidance, accurate positioning, and simple operation. It is an effective minimally invasive surgical method that is easy to master. |
| first_indexed | 2024-03-13T02:50:09Z |
| format | Article |
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| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-03-13T02:50:09Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Endocrinology |
| spelling | doaj.art-16f58df11f4d45dc8692ff51e93e0a722023-06-28T12:19:42ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-06-011410.3389/fendo.2023.11985641198564Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhageHongwei Zhao0Hongwei Zhao1Hongwei Zhao2Tao Zhang3Min Li4Yang Gao5Shuangquan Wang6Rongcai Jiang7Rongcai Jiang8Rongcai Jiang9Zefu Li10Tianjin Medical University, Tianjin, ChinaDepartment of Neurosurgery, Binzhou Medical University Hospital, Binzhou, ChinaDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Neurosurgery, Binzhou Medical University Hospital, Binzhou, ChinaDepartment of Ultrasound Medicine, Binzhou Medical University Hospital, Binzhou, ChinaDepartment of Neurosurgery, Binzhou Medical University Hospital, Binzhou, ChinaDepartment of Neurosurgery, Binzhou Medical University Hospital, Binzhou, ChinaTianjin Medical University, Tianjin, ChinaDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, ChinaTianjin Neurological Institute, Key Laboratory of Post-Neuroinjury Neuro-repair and Regeneration in Central Nervous System, Tianjin Medical University General Hospital, Ministry of Education, Tianjin, ChinaDepartment of Neurosurgery, Binzhou Medical University Hospital, Binzhou, ChinaBackgroundIntracerebral hemorrhage (ICH) is the deadliest subtype of stroke, with a 30-day case fatality rate of approximately 40%. Timely and accurate treatment is essential to facilitate recovery. The introduction of stereotactic instruments and navigation systems has greatly improved the accuracy of surgical treatment. In this study, we explored the application and effects of a three-dimensional (3D) laser combined with C-arm computed tomography (CT) on ICH puncture.Materials and methodsAccording to the principle of randomness, 118 patients with ICH were divided into control and experimental groups. The control group was treated with CT-guided puncture, and the experimental group was treated with 3D laser combined with C-arm CT puncture. The hematoma clearance rates at 3, 5, and 7 days after surgery and the prognosis at 1, 3, and 6 months after surgery were compared between the two groups.ResultsThe hematoma clearance rates of the group using 3D laser combined with C-arm CT at 3, 5, and 7 days after surgery were significantly higher than those of the control group, and the difference was statistically significant (p < 0.05). One month postoperatively, the daily living ability (ADL) grading and recovery of the patients in the test group was significantly better than those of the control group (p < 0.05), but there was no statistically significant difference in ADL 3 and 6 months after surgery (p > 0.05).Conclusion3D laser combined with C-arm CT puncture has the advantages of real-time guidance, accurate positioning, and simple operation. It is an effective minimally invasive surgical method that is easy to master.https://www.frontiersin.org/articles/10.3389/fendo.2023.1198564/fullhypertensive intracerebral hemorrhageC-arm CTthree-dimensional laserhematoma puncture drainageminimally invasive technology |
| spellingShingle | Hongwei Zhao Hongwei Zhao Hongwei Zhao Tao Zhang Min Li Yang Gao Shuangquan Wang Rongcai Jiang Rongcai Jiang Rongcai Jiang Zefu Li Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage Frontiers in Endocrinology hypertensive intracerebral hemorrhage C-arm CT three-dimensional laser hematoma puncture drainage minimally invasive technology |
| title | Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage |
| title_full | Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage |
| title_fullStr | Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage |
| title_full_unstemmed | Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage |
| title_short | Three-dimensional laser combined with C-arm computed tomography-assisted puncture of intracerebral hemorrhage |
| title_sort | three dimensional laser combined with c arm computed tomography assisted puncture of intracerebral hemorrhage |
| topic | hypertensive intracerebral hemorrhage C-arm CT three-dimensional laser hematoma puncture drainage minimally invasive technology |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2023.1198564/full |
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