术中B超指引颅内压传感器置入移位、变形脑室的应用价值  

Application value of intraoperative ultrasound-guided placement of intracranial pressure sensors in deformed and displaced ventricles during decompressive craniectomy in patients with severe traumatic brain injury

作　　者：施振华[1,2] 罗诚 唐文学[1,2] 姜俊良 汪云峰 张宁 裘五四[1] 程军[1] SHI Zhenhua;LUO Cheng;TANG Wenxue(Hangzhou Normal University Affiliated Hospital,Zhejiang 310015,China)

机构地区：[1]杭州师范大学附属医院,杭州310015 [2]浙江省德清县第三人民医院(杭州师范大学附属德清医院)

出　　处：《浙江创伤外科》2024年第4期619-621,共3页Zhejiang Journal of Traumatic Surgery

基　　金：湖州市科技计划项目(2021GY83);浙江省医药卫生科技计划项目(2023XY044)。

摘　　要：目的 分析探讨术中B超在重型颅脑外伤脑疝患者去骨瓣减压术中脑室型颅内压监护传感器置入变形、移位脑室的临床应用价值。方法 对34例重型颅脑外伤脑疝需先行去骨瓣减压术的患者,去骨瓣减压后在B超指导下行脑室穿刺,对这些患者脑室型颅内压传感器穿刺到位情况、并发症情况回顾分析。结果 34例患者均成功置入脑室,其中33例首次置入成功,无术后颅内感染及穿刺相关出血病例。结论 术中B超指导去骨瓣减压术后行脑室型颅内压监护传感器置入变形移位脑室安全有效,值得应用推广。Objective To analyze and explore the clinical application value of intraoperative ultrasound(US) in the placement of intraventricular pressure monitoring sensors for monitoring deformed and displaced ventricles during decompressive craniectomy in patients with severe traumatic brain injury and brain herniation.Methods 34 patients with severe traumatic brain injury and brain herniation requiring decompressive craniectomy were included.After decompressive craniectomy,ventricular puncture was performed under US guidance.The placement of intraventricular pressure sensors and the occurrence of complications were retrospectively analyzed.Results Intraventricular placement was successful in all 34 patients,with 33 cases successfully placed in the first attempt,and no cases of postoperative intracranial infection or puncturerelated bleeding occurred.Conclusion Intraoperative US-guided placement of intraventricular pressure monitoring sensors for monitoring deformed and displaced ventricles after decompressive craniectomy is safe and effective,and worthy of further application and promotion.

关 键 词：术中超声 脑室穿刺 颅内压监护 重型颅脑外伤 

分 类 号：R651.1[医药卫生—外科学]