微创穿刺术治疗脑室出血的相关进展OA
Current progress and perspectives of minimally invasive puncture surgery in the intraventricular hemorrhage
近年来,微创穿刺术作为脑室出血的重要治疗手段,其临床疗效到目前为止已获得显著提升,尤其在影像学技术的辅助下,微创穿刺术治疗脑室出血可使血肿清除率达 70%~90%.手术精准度与稳定性通过神经导航系统和机器人辅助技术得到显著提升,尤其在深部脑室血肿清除中展现出独特优势.然而,现有研究存在三个主要局限:临床样本量有限、疗效评估标准不统一、术后随访周期短.未来应从以下方面推进研究:建立多中心数据库、制订标准化评估体系、实施长期随访、结合影像学和新技术引导个体化治疗.通过融合个体化入路规划、实时影像监测和智能手术系统,有望进一步提高血肿清除率和改善患者预后.本文对微创穿刺术治疗脑室出血近年的相关进展进行综述.
Minimally invasive puncture surgery has been an important treatment for intraventricular hemorrhage in recent years,and its clinical efficacy has been significantly improved so far,especially with the assistance of imaging technology,minimally invasive puncture can make the hematoma clearance rate reach 70%-90%for intraventricular hemorrhage.Surgical precision and stability have been significantly enhanced through the integration of neuronavigation and robotic-assisted technologies,demonstrating particular advantages in the removal of deep intraventricular hematomas.However,current research is limited by small sample sizes,heterogeneous outcome measures,and short follow-up periods.Future research should focus on establishing multi-center databases,developing standardized assessment protocols,implementing long-term follow-up studies,and integrating imaging and novel technologies to guide personalized treatment strategies.By integrating individualized approach planning,real-time image monitoring and intelligent surgical system,it is expected to further improve hematoma clearance rate and improve patient prognosis.This article reviews the recent progress of minimally invasive puncture surgery in the treatment of intraventricular hemorrhage.
韦盛良;焦晓驰;陆涛;黄华东
右江民族医学院附属医院神经外科,广西 百色 533099右江民族医学院附属医院神经外科,广西 百色 533099右江民族医学院附属医院神经外科,广西 百色 533099右江民族医学院附属医院神经外科,广西 百色 533099
医药卫生
脑室出血微创穿刺术影像学评估血肿清除率手术策略
Intraventricular hemorrhageMinimally invasive puncture surgeryImaging evaluationHematoma clearance rateSurgical strategies
《中国医药科学》 2025 (24)
36-40,5
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20180200).
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