应用简化增强现实技术辅助定位引流术治疗老年幕上脑出血的临床研究

目的 通过对比分析评价利用智能手机简化增强现实(AR)技术辅助定位引流术治疗老年幕上脑出血的应用价值.方法 回顾性分析221例引流手术治疗的老年幕上脑出血患者(出血量20～ 40 mL)的临床资料,其中行简化AR技术辅助定位引流术(观察组)108例,行立体定向引流术(对照组)113例.对比两组患者手术时间,置管位置准确...

Application value of simplified augmented reality preoperative localization for supratentorial intracerebral hemorrhage drainage in elderly patients

Objective To evaluate the application value of smart phone simplified augmented reality(AR)assisted positioning drainage in the treatment of elderly supratentorial intracerebral hemorrhage.Methods The clinical data of 221 elderly patients with supratentorial intracerebral hemorrhage(bleeding volume 20~40 mL)treated by drainage were analyzed retrospectively,including 108 cases of simplified AR assisted localization drainage(observation group)and 113 cases of stereotactic drainage(control group).The differences in operation time,accuracy of catheter placement,hematoma clearance,postoperative pulmonary infection rate,incidence of postoperative lower extremity venous thrombosis,significant improvement rate of postoperative limb muscle strength and good prognosis between the two groups were compared,and the application value of simplified AR technology assisted localization drainage with smart phone in the treatment of senile supratentorial intracerebral hemorrhage was evaluated.Results The average operation time was(32.8±7.5)min in the observation group and(97.3±11.4)min in the control group.There was significant difference between the two groups(P<0.05).In the observation group,the accuracy of catheterization,the clearance rate of hematoma,the postoperative pulmonary infection rate,the incidence of postoperative lower extremity venous thrombosis,the obvious improvement rate of postoperative limb muscle strength,and the good prognosis rates were 94.4%,85.4%±7.9%,18.5%,12.0%,76.8%and 72.2%.The control group was 94.7%,90.1%±6.5%,21.2%,15.0%,82.3%,78.8%.There was no significant difference between the two groups(all P>0.05).Conclusion Compared with stereotactic drainage,simplified AR technology assisted by smart phone can significantly shorten the operation time,simplify the operation process,and do not need professional equipment,but there is no significant difference in the safety and reliability of the operation.