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
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.