Positioning and design by computed tomography imaging in neuroendoscopic surgery of patients with chronic subdural hematoma  

作　　者：Xue-Jian Wang Yu-Hua Yin Long-Yao Zhang Zhi-Feng Wang Cheng Sun Zhi-Ming Cui 

机构地区：[1]Department of Neurosurgery,Affiliated Hospital 2 to Nantong University,Nantong 226001,Jiangsu Province,China [2]Department of Neurosurgery,Renji Hospital,Shanghai Jiao Tong University,Shanghai 200000,China [3]Jiangsu Provincial Key Laboratory of Nerve Regeneration,Nantong University,Nantong 226001,Jiangsu Province,China [4]Department of Orthopedic,Affiliate Hospital 2 to Nantong University,Nantong 226001,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2023年第14期3204-3210,共7页世界临床病例杂志

摘　　要：BACKGROUND Neuroendoscopy is a very useful technique to Chronic Subdural Hematoma(CSH).But how to achieve the goal of treatment more minimally invasive?AIM To develop a simple,fast and accurate preoperative planning method in our way for endoscopic surgery of patients with CSH.METHODS From June 2018 to May 2020,forty-two patients with CSH,admitted to our hospital,were performed endoscopic minimally invasive surgery;computed tomography(CT)imaging was employed to locate the intracerebral hematoma and select the appropriate endoscopic approach before the endoscopic surgery.The clinical data and treatment efficacy were analyzed.RESULTS According to the learning of CT scanning images,the surgeon can accurately design the best minimally invasive neuroendoscopic surgical approach and realize the precise positioning and design of the drilling site of the skull and the size of the bone window,so as to provide the most effective operation space with the smallest bone window.In this group,the average operation time was only about 1 h,and the clearance rate of hematoma was about 95%.CONCLUSION Patients with CSH can achieve good therapeutic effect by using our way to positioning and design to assist the operation of CSH according to CT scan and image,and our way is very useful and necessary.

关 键 词：Chronic subdural hematoma Neurosurgery neuroendoscopy Positioning and design Bone window design 

分 类 号：R651.1[医药卫生—外科学]