[1]蓝海龙,柏妞,肖叶玉.“两线相交”法在侧颅钻孔引流术前定位钻孔窗的可行性和有效性[J].中国临床神经外科杂志,2024,29(05):280-282.[doi:10.13798/j.issn.1009-153X.2024.05.008]
　LAN Hai-long,BAI Niu,XIAO Ye-yu.Feasibility and effectiveness of the "two-line intersection" approach in determining the burr hole before lateral cranial burr hole drainage[J].,2024,29(05):280-282.[doi:10.13798/j.issn.1009-153X.2024.05.008]
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“两线相交”法在侧颅钻孔引流术前定位钻孔窗的可行性和有效性()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年05期
页码:
280-282
栏目:
论著
出版日期:
2024-05-30

文章信息/Info

Title:
Feasibility and effectiveness of the "two-line intersection" approach in determining the burr hole before lateral cranial burr hole drainage
文章编号:
1009-153X（2024）05-0250-03
作者:
蓝海龙; 柏妞; 肖叶玉
524500广东湛江，吴川市人民医院医学影像中心（蓝海龙）；510000广州，广州医科大学附属第三医院影像中心（柏妞）；510000，广州市中西医结合医院医学影像科（肖叶玉）
Author(s):
LAN Hai-long1;  BAI Niu2;  XIAO Ye-yu3
1. Medical Imaging Center, Wuchuan People's Hospital, Zhanjiang 524500, China; 2. Medical Imaging Center, Affiliated Third Hospital, Guangzhou Medical University, Guangzhou 510000, China; 3. Medical Imaging Department, Guangzhou Integrated Traditional and
关键词:
钻孔引流术; 侧颅钻孔; 两线相交法; 钻孔定位; 可行性; 有效性
Keywords:
Burr hole drainage;  Lateral cranial drilling;  Two-line intersection method;  Feasibility;  Effectiveness
分类号:
R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2024.05.008
文献标志码:
A
摘要:
目的 探讨“两线相交”法在侧颅钻孔引流术前定位钻孔窗的可行性、有效性。方法 选取20例因头晕、头痛等原因做颅脑CT检查的志愿者，CT检查前，在侧颅随机选取一个点，将回形针置于头发根部并最大限度接近皮肤，回形针的长轴与耳廓前缘平行，使用皮尺手工测量回形针内小U形结构底部至外眦（孔眦径）、耳屏前缘根部（孔耳径）的距离；CT检查后，在后处理工作站测量孔眦径、孔耳径。验证方法：根据后处理工作站测量值制作相应长度的两根棉签，将两根棉签拿到志愿者侧颅获取颅上区的交点，计算交点与模拟钻孔窗的偏离。结果 手工皮尺测量孔眦径8.20~11.20 cm，平均（9.36±0.86）cm；CT测量孔眦径8.10~11.40 cm，平均（9.39±0.90）cm；两者无统计学差异（P=0.516）。手工皮尺测量孔耳径7.30~9.30 cm，平均（8.50±0.53）cm；CT测量孔耳径7.60~9.40 cm，平均（8.51±0.51）cm；两者无统计学差异（P=0.920）。验证结果：两棉签交点与实际模拟钻孔窗的偏离0~0.40 cm，平均（0.18±0.11）cm。结论 利用“两线相交”定位侧颅钻孔窗便捷、准确，可为临床提供参考。
Abstract:
Objective To investigate the feasibility and effectiveness of the "two-line intersection" approach in determining the burr hole before lateral cranial burr hole drainage. Methods Twenty volunteers with symptoms such as dizziness and headache were selected for cranial CT examinations. Prior to the CT examination, a random point was chosen on the lateral skull, and a paper clip was placed at the hair root and as close to the skin as possible; then the distances from the bottom of the small U-shaped structure in the paper clip to the outer canthus (hole-canthus diameter) and the leading edge of the tragus (hole-ear diameter) were measured manually using a tape measure. After the CT examination, the diameters of the hole-canthus and the hole-ear were measured at the post-processing workstation. Verification method: Two cotton swabs of corresponding lengths were fabricated based on the measured values at the post-processing workstation; the two cotton swabs were then applied to the lateral cranial area of the volunteers to obtain the intersection point of the superior cranial area, and the deviation between this intersection point and the simulated drilling window was calculated. Results The diameter of the hole-canthus measured by manual tape ranged from 8.20 to 11.20 cm, with an average of (9.36±0.86) cm; the diameter of the hole-canthus measured by CT system ranged from 8.10 to 11.40 cm, with an average of (9.39±0.90) cm; there was no significant difference in the diameter of the hole-canthus measured by the manual tape and the CT system (P=0.516). The hole-ear diameter measured by manual tape ranged from 7.30 to 9.30 cm, with an average of (8.50±0.53) cm; the diameter of the hole-ear measured by CT system ranged from 7.60 to 9.40 cm, with an average of (8.51±0.51) cm; there was no significant difference in the diameter of the hole-ear measured by the manual tape and the CT system (P=0.920). Verification results: The deviation between the intersection point of the two cotton swabs and the actual simulated drilling window ranged from 0 to 0.40 cm, with an average of (0.18±0.11) cm. Conclusion The application of the "two-line intersection" for locating the lateral cranial drilling window is convenient and accurate, and can provide a reference for clinical practice.

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备注/Memo

备注/Memo:
（2022-05-23收稿，2024-01-23修回）
基金项目：广州市花都区基础与应用基础研究区院联合资助项目（23HDQYLH16；23HDQYLH17）；广东省湛江市非资助科技攻关计划项目（2022B101）
通信作者：肖叶玉，Email：xyyu73@163.com
更新日期/Last Update: 2024-05-30