Effectiveness of 3D printing technology-assisted neuroendoscopic surgery for hypertensive intracerebral hemorrhage in primary hospitals

IF 1.3 Q4 CLINICAL NEUROLOGY

Brain Hemorrhages Pub Date : 2025-06-01 DOI:10.1016/j.hest.2024.08.002

Jiandong Wu , Yuhui Gong , Jinhong Qian, Xiaoyu Tang, Peng Deng, Haolong Ding, Zhiliang Ding, Mian Ma

{"title":"Effectiveness of 3D printing technology-assisted neuroendoscopic surgery for hypertensive intracerebral hemorrhage in primary hospitals","authors":"Jiandong Wu , Yuhui Gong , Jinhong Qian, Xiaoyu Tang, Peng Deng, Haolong Ding, Zhiliang Ding, Mian Ma","doi":"10.1016/j.hest.2024.08.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to investigate the clinical effectiveness of integrating 3D-printing technology with neuroendoscopy for treating hypertensive intracerebral hemorrhage (HICH).</div></div><div><h3>Methods</h3><div>Between November 2020 and November 2023, a total of 105 HICH cases were selected and categorized into the conventional surgery group and the neuroendoscopic surgery. General data, Glasgow Coma Scale (GCS), National institutes of health neurological impairment score (NIHSS), preoperative hematoma volume, intracerebral parenchymal and intraventricular hematoma (IVH) clearance rates, Modified Graeb Scale (mGS), postoperative rebleeding rate, intracranial infection, and Modified Rankin Scale (mRS) were collected to assess the therapeutic effectiveness.</div></div><div><h3>Results</h3><div>There were no significant statistical differences in gender, age, preoperative GCS scores, NIHSS or hematoma volume between the neuroendoscopic surgery and conventional surgery group. The postoperative results indicated that the clearance rate of intracerebral parenchymal and IVH in neuroendoscopic surgery group was notably higher than the conventional surgery group. The neuroendoscopic surgery group achieved superior outcomes in terms of bone flap area, operation time, extubation time, and average hospital stay compared to the conventional surgery group (P < 0.05). Following a 3-month follow-up, there was no significant difference in the mRS and NIHSS between the two groups. However, when the patients with IVH (mGS≥10) indicated better postoperative outcomes in the neuroendoscopic surgery group (P < 0.05).</div></div><div><h3>Conclusion</h3><div>The integration of neuroendoscopic minimally invasive surgery with 3D-printing technology for treating HICH demonstrated high efficacy for removing intracerebral and IVH. This approach incurred less trauma compared to traditional craniectomy surgery, affording shortened surgical and hospitalization durations. Consequently, it appears to be a highly efficacious method for treating HICH, particularly in cases involving IVH.</div></div>","PeriodicalId":33969,"journal":{"name":"Brain Hemorrhages","volume":"6 3","pages":"Pages 103-109"},"PeriodicalIF":1.3000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain Hemorrhages","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2589238X24000706","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

We aimed to investigate the clinical effectiveness of integrating 3D-printing technology with neuroendoscopy for treating hypertensive intracerebral hemorrhage (HICH).

Methods

Between November 2020 and November 2023, a total of 105 HICH cases were selected and categorized into the conventional surgery group and the neuroendoscopic surgery. General data, Glasgow Coma Scale (GCS), National institutes of health neurological impairment score (NIHSS), preoperative hematoma volume, intracerebral parenchymal and intraventricular hematoma (IVH) clearance rates, Modified Graeb Scale (mGS), postoperative rebleeding rate, intracranial infection, and Modified Rankin Scale (mRS) were collected to assess the therapeutic effectiveness.

Results

There were no significant statistical differences in gender, age, preoperative GCS scores, NIHSS or hematoma volume between the neuroendoscopic surgery and conventional surgery group. The postoperative results indicated that the clearance rate of intracerebral parenchymal and IVH in neuroendoscopic surgery group was notably higher than the conventional surgery group. The neuroendoscopic surgery group achieved superior outcomes in terms of bone flap area, operation time, extubation time, and average hospital stay compared to the conventional surgery group (P < 0.05). Following a 3-month follow-up, there was no significant difference in the mRS and NIHSS between the two groups. However, when the patients with IVH (mGS≥10) indicated better postoperative outcomes in the neuroendoscopic surgery group (P < 0.05).

Conclusion

The integration of neuroendoscopic minimally invasive surgery with 3D-printing technology for treating HICH demonstrated high efficacy for removing intracerebral and IVH. This approach incurred less trauma compared to traditional craniectomy surgery, affording shortened surgical and hospitalization durations. Consequently, it appears to be a highly efficacious method for treating HICH, particularly in cases involving IVH.

查看原文本刊更多论文

3D打印技术辅助神经内窥镜手术治疗基层医院高血压脑出血疗效观察

目的探讨3d打印技术与神经内窥镜结合治疗高血压脑出血的临床疗效。方法选取2020年11月~ 2023年11月收治的高鼻窦性脑出血患者105例，分为常规手术组和神经内窥镜手术组。收集一般资料、格拉斯哥昏迷量表（GCS）、美国国立卫生研究院神经功能障碍评分（NIHSS）、术前血肿体积、脑实质及脑室内血肿清除率、改良Graeb量表（mGS）、术后再出血率、颅内感染、改良Rankin量表（mRS）评估治疗效果。结果神经内镜手术组与常规手术组在性别、年龄、术前GCS评分、NIHSS、血肿体积等方面差异均无统计学意义。术后结果显示，神经内镜手术组脑实质及IVH清除率明显高于常规手术组。神经内镜手术组在骨瓣面积、手术时间、拔管时间、平均住院时间等方面均优于常规手术组(P <；0.05)。经过3个月的随访，两组患者的mRS和NIHSS无显著差异。然而，当IVH患者（mGS≥10）表现出较好的术后预后时，神经内镜手术组(P <；0.05)。结论神经内窥镜微创手术与3d打印技术相结合治疗high - ich对脑内及IVH切除疗效显著。与传统的开颅手术相比，这种方法造成的创伤更小，缩短了手术和住院时间。因此，它似乎是一种非常有效的方法来治疗高致畸，特别是在涉及IVH的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊