论文部分内容阅读
目的:探讨简化增强现实(AR)技术在老年幕上脑出血引流术前穿刺点定位中的应用价值。方法:对邢台市第三医院神经外三科自2018年2月至2020年2月收治的163例行血肿引流术治疗的老年幕上中等量脑出血患者，分别仅利用智能手机简化AR技术辅助定位下引流85例(观察组)，以及利用虚拟现实(VR)技术(3D-slicer软件)联合AR技术(Sina软件)辅助定位下引流78例(对照组)。回顾性分析2组患者间术前定位时间、置管准确率、72 h内血肿引流充分率、术后肺部感染率、术后住重症监护室时间、预后良好率等方面的差异。结果:观察组与对照组间置管准确率(95.3% n vs. 94.9%)、72 h内血肿引流充分率(96.5% n vs. 96.2%)、术后肺部感染率(21.2% n vs. 19.2%)、术后住重症监护室时间[(75.5±16.7) h n vs. (81.5±19.5) h]、预后良好率(75.3% n vs. 70.5%)的差异均无统计学意义(n P>0.05)，但观察组的术前定位时间较对照组明显缩短[(12.2±6.5) minn vs. (37.5±11.3) min]，差异有统计学意义(n P0.05), but the preoperative location time in the observation group was significantly shorter than that in the control group ([12.2±6.5] minn vs. [37.5±11.3] min, n P<0.05).n Conclusion:On the basis of no significant difference in the accuracy and therapeutic effect of catheter placement, drainage assisted by simplified AR technique is more convenient and faster than that by VR combined with AR technique.