3D-Slicer Software Three-dimensional Reconstruction Assisted Puncture Drainage Applied Study Of Hemorrhagic Stroke

Objective: To use 3D-Slicer software to guide the puncture of hemorrhagic stroke in order to improve the accuracy of puncture.In patients with hemorrhagic stroke,two different positioning methods,simple CT(Computed Tomography)positioning puncture drainage and3D-slicer software three-dimensional reconstruction assisted puncture drainage,are adopted for puncture drainage to determine whether 3D-slicer software three-dimensional reconstruction assisted puncture drainage has more obvious therapeutic effect and is worthy of promotion and application.Methods: According to the different positioning methods,the patients with simple CT positioning puncture drainage were set as the control group,and the patients with 3D reconstruction assisted puncture drainage with 3D slicer software were set as the observation group.On the premise that the family members of the patients are informed and voluntary,60 patients with hemorrhagic stroke admitted to the Department of Neurosurgery of the Affiliated Hospital of Chifeng University from December 2021 to December 2022 were randomly selected as the subjects of this study.The control group and the observation group each selected 30 data cases.The control group performed hematoma puncture and drainage under the guidance of the original plain film of the patient’s head CT image data and body surface positioning,while the observation group performed hematoma puncture and drainage under the guidance of 3D reconstruction assistance of 3D slicer software,body surface positioning and virtual navigation.The clinical efficacy(Glasgow score,Glasgow prognosis score),hematoma target deviation distance,puncture success rate,postoperative complications and hospital stay of patients were used as research indicators to evaluate the therapeutic effect.Results: There was no significant difference in age,sex,bleeding site and preoperative GCS between the two groups(P>0.05),which was comparable.The observation group was superior to the control group in terms of Glasgow prognosis score(GOS score),puncture success rate,hematoma target deviation distance,puncture accuracy rate reaching the standard number of cases,and average hospital stay,with statistically significant difference(P<0.05).There was no significant difference in the incidence of postoperative complications(rebleeding at puncture site,intracranial infection,decannulation,epilepsy,etc.)between the two groups(P>0.05).Conclusion: 3D-slicer software 3D reconstruction technology is more accurate than simple CT positioning puncture,improves the survival and prognosis of patients,has higher and more important clinical value,and is worthy of promotion and application in grass-roots hospitals.