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在患有正常大小心室的患者中,经过超声导向的内科手术心室管道

T C Unal¹, I Dolas¹, D Sahin¹

¹Department of Neurosurgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul Tip Fakultesi, Nörolojik Bilimler Binasi, Fatih/Istanbul 34093, Turkey.

Neuro-Chirurgie

|July 2, 2023

概括

术内超声波 (iUS) 提供安全和准确的指导,用于对正常大小的心室进行导管,这是一个具有挑战性的神经外科手术程序. 这种技术提供了有效的实时可视化,以改善患者的治疗结果.

科学领域:

神经外科神经外科
医疗成像医学成像
干预神经病学干预神经病学

背景情况:

正常大小的腹腔管是关键的神经外科手术程序.
技术上具有挑战性,即使有神经导航,由于心室尺寸小.
术内超声波 (iUS) 提供了改进指导的潜力.

研究的目的:

介绍使用iUS指导在正常大小的心室中进行的第一系列心室管.
为了评估患者治疗iUS导向腹腔管管道治疗的结果.
建立iUS作为一种安全有效的方法来挑战心室进入.

主要方法:

在2020年1月至2022年6月期间,对18名接受iUS导向腹腔管治疗 (VP分离器或Ommaya水库) 的患者进行了回顾性分析.
纳入标准:埃文斯指数<30%和最宽的第三心室直径<6mm.
从右边的科赫点进行的穿孔,使用iUS实时指导.

主要成果:

所有患者在一次尝试中成功安置了导管尖端.
没有报告的低于最佳的安置.
一例 (5.5%) 的早期分流感染在一个异常发病的内高血压 (IIH) 患者需要分流切除.

结论:

术内超声波 (iUS) 是一种简单,安全和准确的方法,用于通道正常大小的心室.
iUS为具有挑战性的神经外科刺穿提供了有效的实时指导.
这种技术在实现目标导管位置方面表现出高效率.

关键词:

异形性内高血压是一种异形性高血压.在外科手术期间的超声波.勒普托门内尔转移 (Leptomeningeal metastases) 是一种转移.神经导航是一种神经导航.在Ommaya水库.裂开的心室是什么意思腹腔上腺突变 (Ventriculoperitoneal shunt) 已经开始使用.

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