机器人辅助立体定向颅内血肿穿刺引流术在高血压脑出血治疗中的安全性分析

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中图分类号R743.34 文献标识码 A 文章编号 2096-7721（2026）03-0460-06

Safety analysis of robot-assisted stereotactic craniotomies for hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage

ZHANG Lei1， WEI Haibin'， JIANG Shichen'， HUA Lijie'， MEI Dongdong'，ZHANG Peng'， JIANG Rui² （1.Departtfyplesialgga;2ptofuydil of Nantong University， Nantong 226oO1， China）

AbstractObjective：To evaluate the safetyof robot-assted stereotactic hematoma punctureand drainage inthetreatmentof hypertensive intracerebralhemorrhage （HCH），andtasssitsimpactonpunctureaccuracyndcomplicationates.Metods：35 HICHpatientstreatedwithconventionalcuboidframelocalizationatthePeople’sHospitalofRugaofromAugust2O23toAugst2024 wereenrolledanddiviedntotconvenalgoupnoter35HCHpatintshounderwetobotsistedtereotacticavigation surgeryfromSeptember024toSeptember225wereincudedintotherobot-asistedgroup.Surgicalduration，hmatomadaiagetie， postoperatiehfiaoatiodoscecdacec comparedbetwenthetwogoups.Postoperative24-hourhematomaclearancerate，incidenceofomplication，andlong-termoucomes （6-monthmortalitynddisabiltates）werealsoevaluated.Glasgowomacale（C）scoeswereasesedbforesurgeryar surgeryand3daysaftersurgery.Results：Comparedtotheconventional group，therobot-asisted groupshowedsignficantlyshorter surgicalduratio，matoadainagetiostoperatiecoerytindlngthfospitalstaylongithduceditatie blood loss （ P <0.05）.Puncture accuracy，hematoma puncture satisfaction，and 24-hour hematoma clearance rate were significantly higher in the robot-assisted group than the conventional group （ P <0.05）.GCS scores on postoperative day1 and day3 were significantly higher in the robot-assisted group than the conventional group （ P <0.05）. The total complication rate was significantly lowerin the robotassisted group than the conventional group （ 5.71% Us. 22.86% ， P <0.05）. Although the robot-assisted group showed higher survival rate andlowerdisabilityrateat6monthsaftersurgerythantheconventional group，thediferenceswerenotstatisticallysignificant（ P> 0.05）. Conclusion：Robot-asistedstereotacticematomapuncturenddrainageisasafeandefectiveapproachforHCHtreatment.Itcan significantly improve puncture accuracy and patient outcomes，thereby enhancing treatment safety.

KeyWordsHypertesiveIntracrebalHemohage;RobotasistedSurgery;ositiongccuracy;Stereoacticrae;Pucuead Drainage; Safety

脑出血作为高致死率、高致残率的急性脑血管疾病，占脑卒中患者总数的 10%～15% ，其疾病负担尤为严峻[]。（剩余11225字）