机器人辅助高血压脑出血手术的定位精度及临床价值研究
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中图分类号 R743.34文献标识码 A文章编号 2096-7721（2025）11-1946-06
Positioning accuracy and clinical value of robot-assisted surgery for hypertensive intracerebral hemorrhage
WEI Haibin1， JIANG Shichen1， ZHANG Lei1，HUA Lijie²， JIANG Rui³
（1.Departmentofeurosurgeryteople'sHospitalofugaougao226O，China;2.Departmentofeshesilgytple's HospitalofgatfedialUit
AbstractObjective：Toexploretheadvantagesofpositioningaccuracyandcliicalvalueofrbot-asistedsurgeryintetreatment of hypertnsiveitraceebralmohage （HCHbycomparingitsdiferenceswithtraditionalstereoacticframesurgeryMethods：68 HICH patients treatedatthe People'sHospitalofRugaofromJune2O23 toJuly2O25wereselectedanddividedintotheobservation group （ n= 33，receiving robot-assisted surgery） and the control group （ n =35，receiving stereotactic frame surgery）.The positioning accuracysurcalaoaale（oe，toalisiesfaltkeale（S）orevelsd IL-6，incidenceofoplicatios，stoperativeecoveryndmedicalsourceonsumptionereomparedbetwnewooups. Results：Thepositioningerorintraoperativefluoroscopytimes，uncturepathadustmenrate，andoperativetimeiteseation group were significantly lower than those in the control group （ P <0.05）. The success rate of deep small hematoma and the hematoma clearance rate at24 h after surgery intheobservation group were significantly higher than those inthe control group （ P <0.05）. The GCS score，NSSsore，CRPlvel，IL-6lvel，andinidenceofomplicationat7daysaftersurgeryintebsevationgroupere significantly lower than those in the control group （ P <0.05）.The observation group had significantly shorter times of catheter drainage， cerebrospinal fluid recovery，and length of hospital stay than the control group （ P <0.05），but significantly higher medical costs （ P <0.05）. Conclusion：Robot-asstedsurgeryforHICHhasexcellntpositioningauracy，whichcansignificantlyimprovesurgicaloutcomes， reducecomplicasroerolalcalcoerydeegthfopitalalouh assistedurgeryforHCislatielyghsadantagsiniprovinpatitprogosisndduinglogtecarecosaeeet indicating high clinical value and potential for promotion. KeyWordsHypertnsiveCerebralHemohage;Robot-aistedSurgery;PositioingAcuracy;ClincalValue;Stereotacticame
高血压脑出血（hypertensive intracerebral hemorr-hage，HICH）是指长期高血压导致脑内小血管破裂引起的急性出血性脑血管病，是高血压最严重的并发症之一，严重危及患者生命健康[。（剩余10932字）
