神经外科诊疗新技术与研究的最新进展  

New technology and research progress in neurosurgery diagnosis and treatment

作　　者：庄骐源 陈亮 毛颖 Zhuang Qiyuan;Chen Liang;Mao Ying(Department of Neurosurgery,Huashan Hospital Affiliated to Fudan University National Medical Center for Neurological Disorders,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院神经外科、国家神经疾病医学中心,上海200040

出　　处：《中华外科杂志》2024年第1期31-38,共8页Chinese Journal of Surgery

摘　　要：神经外科领域临床需求的快速增长推动了技术的不断创新迭代,从精细手术到个体医疗,从分子可视化到数字智能化,从延长患者生存时间到恢复神经功能,不断涌现的新发现、新知识、新技术和新器械拓宽了诊疗窗口,提升了治疗效能,也给神经外科医师带来了机遇与挑战。本文从神经影像、神经导航、机器人手术辅助系统等新技术的应用出发,围绕中枢神经系统肿瘤、脑血管病外科治疗、功能神经外科、神经损伤与神经修复等多个亚专科的实际临床问题,详细总结了影像技术创新应用、精细手术发展、个体化神经功能替代治疗及多维信息数字化等研究热点,并对未来研究方向进行展望。Neurosurgery is a vital branch of medicine that deals with the surgical management of brain disorders.The increasing demand for clinical solutions drives technological innovation,and the rapid progress in science and technology enables new discoveries,knowledge,techniques,and instruments in neurosurgery,expanding the scope and accuracy of diagnosis and treatment,and enhancing therapeutic outcomes.The author team combines domestic and international literature and previous clinical and scientific research experience,focusing on practical clinical problems in several subspecialties,including neuroimaging,neuronavigation and surgical robot assistance,central nervous system tumors,surgical treatment of cerebrovascular disease,functional neurosurgery,neuroinjury and neural repair,and digital neurosurgery.The paper summarizes in detail the research hotspots and puts forward the research direction prospects,including the innovative application of imaging technology,the development of fine surgery,the innovation of neuro-oncology diagnosis and treatment,the surgical standardization of cerebrovascular disease,the progress of neuromodulation,the individualized neurological alternative treatment and the digitalization of multi-dimensional information in neurosurgery.

关 键 词：神经外科手术 机器人 神经影像 神经肿瘤 脑血管病 功能神经外科 神经修复 数字化 

分 类 号：R651.1[医药卫生—外科学]