目的    探讨新型“开放+桥基”式3D导板在精准穿刺引流术治疗高血压性脑出血中的应用疗效。  方法    回顾分析2020年8月~2021年5月在我院住院的32例高血压性脑出血病例进行穿刺引流手术，对照组（n=16）采用传统CT定位下穿刺。实验组（n=16）在新型“开放+桥基”式3D导板引导下穿刺。比较两组的手术时间、靶点偏移距离及术后3日血肿清除率。  结果    实验组手术时间（36.54±3.52）min、靶点偏移距离（0.30±0.03）cm、术后3日血肿清除率（91.16±2.22）%，优于对照组（40.52±3.50）min、（0.49±0.03）cm、（81.93±3.36）%，差异均具有统计学意义（P<0.05）。   结论    高血压性脑出血患者在新型“开放+桥基”式3D导板引导下行穿刺术，定位精准，操作方便，安全可行，理论上可改善患者预后，具有推广意义。

Objective    To investigate the application effect of the new "open + bridge base" 3D guide in the treatment of hypertensive cerebral hemorrhage by precise puncture drainage.   Methods   A retrospective analysis was performed on 32 cases of hypertensive intracerebral hemorrhage collected in our hospital from August 2020 to May 2021. The control group (n=16) underwent puncture under traditional CT positioning. The experimental group (n=16) underwent puncture under the guidance of the new "open + bridge foundation" 3D guide plate. The operation time, target deviation distance and the clearance rate of hematoma 3 days after operation were compared between the two groups.   Results   The operative time of the experimental group was (36.54±3.52) min, the target deviation distance was (0.30±0.03) cm, and the hematoma clearance rate was (91.16±2.22) %, which were better than those of the control group (40.52±3.50) min, (0.49±0.03) cm, (81.93±3.36) %. There were statistical differences in the above indexes (P<0.05).   Conclusions   The new "open+bridge base" type 3D guide for patients with hypertensive cerebral hemorrhage is , safe and feasible, with accurate positioning, which can theoretically improve the prognosis of patients, and has the significance of promotion.