Abstract:Objective To explore the clinical application value of 3D-slicer software assisted localization in hypertensive intracerebral hematoma evacuation under neuroendoscope. Methods The clinical data for 65 patients with hypertensive intracerebral hemorrhage from December 2015 to December 2017 were retrospectively analyzed. The patients who underwent neuroendoscopic evacuation of intracerebral hematoma by 3D-slicer software assisted localization were included in research group (n=32), and the patients who underwent craniotomy were included in control group (n=35). The perioperative condition, complication condition, Glasgow coma score (GCS) and Glasgow outcome score (GOS) were compared between two groups. Results The operative time and intraoperative blood loss in research group were significantly lower than those in control group [(82.94±11.60)min vs (190.37±40.92)min, P＜0.01; (66.83±14.27)ml vs (191.04±50.15)ml, P＜0.01]. Hematoma clearance rate in research group was significantly higher than that in control group[(90.30±4.88)% vs (83.16±7.00)%, P＜0.01]. The incidence of surgical complications in research group was significantly lower than that in control group(15.62% vs 37.14%, P<0.05). GCS score at the seventh day after operation in research group was significantly higher than that in control group(11.76±1.35 vs 10.35±1.90, P<0.01). During the 6 month follow-up period, GOS score in research group was significantly higher than that in control group(4.19±0.79 vs 3.72±0.95, P<0.05). Conclusion 3D-slice assisted neuroendoscopic intracerebral hematoma evacuation has higher therapeutic value and the advantage of easy to operate.