术中B超指引颅内压传感器置入移位、变形脑室的应用价值
Application value of intraoperative ultrasound-guided placement of intracranial pressure sensors in deformed and displaced ventricles during decompressive craniectomy in patients with severe traumatic brain injury
施振华 1罗诚 2唐文学 1姜俊良 2汪云峰 2张宁 3裘五四 3程军3
作者信息
- 1. 310015 杭州,杭州师范大学附属医院;浙江省德清县第三人民医院(杭州师范大学附属德清医院)
- 2. 浙江省德清县第三人民医院(杭州师范大学附属德清医院)
- 3. 310015 杭州,杭州师范大学附属医院
- 折叠
摘要
目的 分析探讨术中B超在重型颅脑外伤脑疝患者去骨瓣减压术中脑室型颅内压监护传感器置入变形、移位脑室的临床应用价值.方法 对 34 例重型颅脑外伤脑疝需先行去骨瓣减压术的患者,去骨瓣减压后在B超指导下行脑室穿刺,对这些患者脑室型颅内压传感器穿刺到位情况、并发症情况回顾分析.结果 34 例患者均成功置入脑室,其中 33 例首次置入成功,无术后颅内感染及穿刺相关出血病例.结论 术中B超指导去骨瓣减压术后行脑室型颅内压监护传感器置入变形移位脑室安全有效,值得应用推广.
Abstract
Objective To analyze and explore the clinical application value of intraoperative ultrasound(US)in the placement of intraventricular pressure monitoring sensors for monitoring deformed and displaced ventricles during decompressive craniectomy in patients with severe traumatic brain injury and brain herniation.Methods 34 patients with severe traumatic brain injury and brain herniation requiring decompressive craniectomy were included.After decompressive craniectomy,ventricular puncture was performed under US guidance.The placement of intraventricular pressure sensors and the occurrence of complications were retrospectively analyzed.Results Intraventricular placement was successful in all 34 patients,with 33 cases successfully placed in the first attempt,and no cases of postoperative intracranial infection or puncture-related bleeding occurred.Conclusion Intraoperative US-guided placement of intraventricular pressure monitoring sensors for monitoring deformed and displaced ventricles after decompressive craniectomy is safe and effective,and worthy of further application and promotion.
关键词
术中超声/脑室穿刺/颅内压监护/重型颅脑外伤Key words
Intraoperative ultrasound/Ventricular puncture/Intracranial pressure monitoring/Severe traumatic brain injury引用本文复制引用
基金项目
湖州市科技计划(2021GY83)
浙江省医药卫生科技计划(2023XY044)
出版年
2024
NETL
NSTL
维普
万方数据