To explore the clinical application value of 3D-Slicer software positioning technology in intracranial hematoma puncture.

A total of 42 patients with hypertensive intracerebral hemorrhage in the basal ganglia area admitted to the Department of Neurosurgery, Ningxia Hui Autonomous Region People’s Hospital from October 2018 to October 2019 were analyzed, and according to different positioning methods, they were divided into 3D-Slicer software positioning group (observation group, 20 cases) and traditional CT positioning group (control group, 22 cases). In the observation group, the intracerebral hematoma puncture and drainage was located by 3D-Slicer software, while in the control group, the operator locates the intracerebral hematoma puncture and drainage according to the original CT plain film of the patient. The number of intraoperative punctures, the distance from the end of the drainage tube to the preset puncture targe, the complete absorption time of the postoperative hematoma, the hematoma clearance rate at 12 h and 3 d after surgery, the incidence of intracranial infection and rebleeding were compared between the two kinds of operation patients. The curative effect was evaluated by modified Rankin scale.

The number of punctures during operation, the distance from the end of the drainage tube to the preset puncture target, and the complete absorption time of the postoperative hematoma in the observation group were significantly better than those in the control group (P<0.05). The hematoma clearance rate of the observation group at 12 h and 3 d after operation was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the rate of intracranial infection and rebleeding between the two groups (P>0.05). Followed up for 1 month, the prognosis of the observation group was better than that of the control group.

The 3D-Slicer software is more intuitive and accurate in locating intracerebral hematoma than traditional CT locating method, and its curative effect and prognosis are significantly better than traditional CT locating method, which is suitable for popularization in primary hospitals.