外腔室排水管的导航床边植入与移动健康指南:技术说明和案例系列
Tarik Alp Sargut1, Ulrich-Wilhelm Thomale2, Matthias Schulz2
1Department of Neurosurgery, Charité - Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Acta neurochirurgica
|February 10, 2024
概括
一种新的导航床边技术用于外部心室排水 (EVD) 放置,提高了紧急神经外科手术的安全性和准确性. 这种方法在所有患者中成功定位了EVD,避免了错位并发症.
科学领域:
- 神经外科 神经外科
- 医疗器械 医疗器械
- 紧急医疗 紧急医疗
背景情况:
- 外腔室排水 (EVD) 植入在紧急神经外科手术中至关重要.
- 使用解剖学标志的自由手EVD放置往往导致错位和并发症.
研究的目的:
- 为了评估一种新的导航床边EVD插入技术.
- 在紧急神经外科环境中评估该技术的安全性,准确性和效率.
主要方法:
- 一个移动的健康辅助导航仪器和一个电池驱动的钻机被用于床边EVD放置.
- 该技术应用于12名患有需要CSF缓解和ICP监测的神经外科病理的患者.
主要成果:
- 在第一次尝试中,在所有12名患者身上都准确地放置了导航床边EVD.
- 由于位置错误,没有EVD需要修改;平均操作时间为25.8分钟.
- 并发症包括一个体内血液瘤和一个脑脊髓液感染.
结论:
- 导航床边EVD技术提高了安全性,准确性和效率.
- 这种方法适用于各种紧急神经外科病理,没有额外的重大努力.
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