小脑延髓池穿刺术操作技巧及临床安全性分析  

Cisterna magna puncture: Technique note and clinical safety analysis

作　　者：陈琳[1,2] 郗海涛[3] 刘彦铖[3] 张峰[4] 黄红云[5] 左焕琮[5] 

机构地区：[1]清华大学医学中心,北京医学博士研究生100084 [2]清华大学玉泉医院 [3]北京市虹天济神经科学研究院,北京100043 [4]首都医科大学附属北京康复医院神经外科,北京100144 [5]清华大学玉泉医院神经修复研究室,北京100049

出　　处：《医学研究生学报》2014年第2期176-178,共3页Journal of Medical Postgraduates

摘　　要：目的 通过小脑延髓池穿刺术,可以更好的在脑和上段脊髓部位近距离注射细胞,是目前鞘内细胞移植神经修复重要的途径.文中分析小脑延髓池穿刺术的临床安全性,探讨手术操作的技巧.方法回顾性分析2010年1月至2012年11月79例次小脑延髓池穿刺术的临床资料及操作过程.结果 所有患者手术均成功完成,无一例失败和发生术中并发症.穿刺深度成人3-6.5cm,儿童2-3cm,术后头痛5例,低热6例,查体无脑膜刺激征,均在对症治疗后1-3d痊愈.结论小脑延髓池穿刺术操作在遵循严格完善的操作规程下,风险较低,安全可行.Objective Intrathecal cell transplantation by cisterna puncture is currently the crucial alternative for neurorestoration, which more likely improve the clinical outcome as the close injection of cells to brain and cervical cord. The aim of this study is to analyze the clinical safety of the cistern magna puncture and explore the skills of the surgical procedure.MethodsSeventy nine cases of cisterna magna puncture were analyzed retrospectively from January 2010 to November 2012.ResultsThe puncture depth varied from 3 to 6.5cm in adults and 2 to 3cm in children. There was no failure case and intraoperative complication. Five cases had postoperative headache and 6 cases had fever, and all of them fully recovered following the symptomatic treatments for 1 to 3 days.ConclusionThe operation of cisterna magna puncture is low risk, safe and feasible for patients following the strict rule and guideline of procedures.

关 键 词：小脑延髓池穿刺 神经修复 临床应用 安全性 操作技巧 

分 类 号：R741.05[医药卫生—神经病学与精神病学]