[1]周春辉　李文平　李彦腾等.便携式神经内镜在脑内血肿清除术和开放性颅脑损伤有限清创术中的应用[J].中国临床神经外科杂志,2021,26(10):784-788.[doi:10.13798/j.issn.1009-153X.2021.10.012]
　ZHOU Chun-hui,LI Wen-ping,LI Yan-teng,et al.Application of portable neuroendoscopy in intracerebral hematoma removal and open traumatic brain injury undergoing limited debridement[J].,2021,26(10):784-788.[doi:10.13798/j.issn.1009-153X.2021.10.012]
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便携式神经内镜在脑内血肿清除术和开放性颅脑损伤有限清创术中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年10期
页码:
784-788
栏目:
实验研究
出版日期:
2021-10-25

文章信息/Info

Title:
Application of portable neuroendoscopy in intracerebral hematoma removal and open traumatic brain injury undergoing limited debridement
文章编号:
1009-153X（2021）10-0784-05
作者:
周春辉　李文平　李彦腾等
作者单位：100853 北京，中国人民解放军总医院神经外科医学部（周春辉、李彦腾、赵虎林、张剑宁）；1000853 北京，解放军医学院（周春辉、李彦腾、刘聪为、程　乔）；100048 北京，中国人民解放军总医院第六医学中心医学影像科（李文平）；
Author(s):
ZHOU Chun-hui;  LI Wen-ping;  LI Yan-teng;  et al
1. Department of Neurosurgery, PLA General Hospital, Beijing 100853, China; 2. Medical School of Chinese PLA, Beijing 100853, China; 3. Department of Medical Imaging, The Sixth Medical Center of PLA General Hospital, Beijing 100048, China
关键词:
脑内血肿; 开放性颅脑创伤; 便携式神经内镜; 血肿清除术; 有限清创术
Keywords:
Cerebral hematoma;  Open traumatic brain injury;  Portable neuroendoscopy;  Hematoma removal;  Limited
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2021.10.012
文献标志码:
R 651.1+5; R 651.1+1
摘要:
目的 探讨便携式神经内镜在脑内血肿清除术和开放性颅脑损伤有限清创术中的应用价值。方法 在头颅模型内注入硅胶作为脑实质，用垂物法投入模拟血包，制作脑内血肿，应用便携式神经内镜模拟清除脑内血肿；取10只比格犬制作开放性颅脑损伤模型，应用便携式神经内镜模拟进行有限清创术。结果 5例脑内血肿模拟清除术均顺利完成，血肿量为（30.00±7.91）ml，血肿清除时间为（1.28±0.45）min，血肿清除效率为（24.05±2.51）ml/min，血肿清除体积为（27.20±6.83）ml，血肿清除率为（90.98±2.73）%。10只比格犬开放性颅脑损伤模型在便携式超声实时引导下完成有限清创术，异物数量为（4.00±1.49）个，手术时间为（25.20±9.66）min，异物取出数量为（2.90±1.10）个，单个异物清除时间为（9.50±2.83）min，异物清除率为（73.17±16.22）%；手术前后CT示颅内无继发性出血，但是积气增多。结论 利用便携式神经内镜对脑内血肿进行血肿清除术，或对开放性颅脑损伤进行有限清创术，都是可行、有效的。
Abstract:
Objective To explore the application value of portable neuroendoscopy in the removal of intracerebral hematoma and limited debridement of open traumatic brain injury (TBI). Methods Five simulate cerebral hematomas were made artificially: silica gel was injected into the resin skull model as the cerebral substance and the simulated blood pack was put into the silica gel to make intracerebral hematoma, and then the portable neuroendoscope was used to remove the simulated intracerebral hematomas. Ten beagle dogs were used to make an open TBI model and the portable neuroendoscopy was used to simulate the limited debridement. Results All the simulated removal of cerebral hematomas were successfully completed. The volume of hematoma was (30.00±7.91) ml, the time of hematoma removal was (1.28±0.45) min, the efficiency of hematoma removal was (24.05±2.51) ml/min, and the volume of hematoma removal was (27.20±6.83) ml, the clearance rate of hematoma was (90.98±2.73)%. The limited debridements under guidance of portable real-time ultrasound were successfully completed in 10 beagle dogs with open TBI model. The number of foreign bodies was (4.00±1.49), the operation time was (25.20±9.66) min, the number of removed foreign bodies was (2.90± 1.10), the removal time of a single foreign body was (9.50±2.83) min, and the foreign body removal rate was (73.17±16.22)%; After the limited debridement, CT showed no secondary intracranial hemorrhage and increase in intracranial pneumatocele. Conclusions It is feasible and effective to use portable neuroendoscopy to remove intracerebral hematoma or perform limited debridement for open TBI.

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备注/Memo:
通讯作者：张剑宁，E-mail：jnzhang2018@163.com
更新日期/Last Update: 1900-01-01