ABSTRACT
OBJECTIVE: This study aims to compare the outcomes of robot-assisted drainage and conservative treatment in minor basal ganglia hemorrhage (10ml< hemorrhage volume ≤ 30 ml) patients with neurological dysfunction, and analyze patients treated with robot-assisted drainage in order to optimize this treatment strategy. METHODS: In a retrospective study conducted in December 2021 to December 2023, minor basal ganglia cerebral hemorrhage patients with neurological dysfunction were enrolled from the Department of Neurosurgery, Shanghai Ninth People's Hospital. The patients included both the surgical (robot-assisted drainage) and conservative groups. The efficacy of robot-assisted drainage compared with conservative treatment in patients with minor cerebral hemorrhage and neurological dysfunction was evaluated by modified Rankin Scale (mRS) score after 3 months, muscle strength (grade 1 to 5) and cost of hospitalization. RESULTS: Of the patients included, 23 received robot-assisted drainage and 20 received conservative treatment. There were no significant differences in gender, age, history of hypertension and diabetes, muscle strength and mRS score at admission. Female patients accounted for 32.6%, and male patients accounted for 67.4%. About 90% of the patients enrolled had a pre-existing hypertension history. The mRS score after 3 months indicated that prognosis of the patients was significantly better in the surgical treatment group than the conservative treatment group (favorable prognosis 69.57% VS. 35%, P = 0.034) while the patients underwent surgery paid higher hospital bills than patients treated conservatively. CONCLUSION: Compared with traditional conservative treatment, robot-assisted drainage surgery is more helpful to improve the prognosis of patients with minor basal ganglia hemorrhage (volume ≤ 30mL) accompanied by neurological dysfunction. Robot assisted surgery can safely and effectively remove the hematoma of minor basal ganglia hemorrhage, and there were 69.6% of surgery group patients had a good prognosis in this study.
Subject(s)
Basal Ganglia Hemorrhage , Robotic Surgical Procedures , Humans , Male , Female , Middle Aged , Basal Ganglia Hemorrhage/surgery , Basal Ganglia Hemorrhage/complications , Robotic Surgical Procedures/methods , Retrospective Studies , Aged , Adult , Treatment Outcome , Neurosurgical Procedures/methods , Nervous System Diseases/surgery , Drainage/methods , Cerebral Hemorrhage/surgery , Cerebral Hemorrhage/complicationsABSTRACT
We disclose a method of fabricating a low-voltage-driven smart glass based on micro-patterned liquid crystal (LC) Fresnel lenses and implement three proof-of-concept prototypes. Distinct from the conventional LC-based smart windows with the scattering state, the prominence of our proposed LC smart glass in blurry state under both normal and oblique observations stems from the image distortion caused by LC Fresnel lenses. In addition, the high transmittance (>90%) in clear state is obtained by applying a low voltage of 2 V to each prototype. Moreover, by elaborating the design of the LC smart glass, the reversed switching states [i.e., a clear (voltage OFF) state and a blurry (voltage ON) state] and fast switching time can be simultaneously achieved.
