摘要
目的探讨术中实时超声引导下对变形、移位脑室的穿刺技术。方法河南省人民医院神经外科自2010年1月至2012年1月利用术中实时超声引导对34例因不同原因出现脑室变形移位、脑室局限性扩张的患者进行脑室穿刺置管．收集其临床资料并总结超声引导下穿刺技术的经验和疗效。结果本组34例患者共行40次超声引导下脑室穿刺，均获成功。术后复查CT或MRI显示引流管在脑室腔的位置合适。仅1例分流管置入时进入对侧侧脑室额角。无一例位置出现过深或过浅。无继发脑挫裂伤、脑内血肿等并发症发生。结论术中实时超声对于变形、移位、局限性扩张或无明显扩张的脑室能准确定位，穿刺成功率高，且操作简便、灵活，适合在临床推广应用。
Objective To investigate the method of ventricular puncture of deformation and displacement ventricle under guidance of real-time intraoperative ultrasound. Methods Thirty-four patients with deformation and displacement ventricle, admitted to our hospital from January 2010 to January 2012, were performed ventricular puncture under real-time intraoperative ultrasound. The best puncture direction and depth were selected under monitoring of real-time intraoperative ultrasound. Results Thirty-four patients were conducted forty times of ventricle puncture, enjoying all success; postoperative CT scan or MRI showed appropriate location of the drainage tube in the ventricular cavity. No one was found serious secondary cerebral damage. Conclusion Intraoperative ultrasound can accurately position the deformation and displacement ventricle; utrasound-guided ventricular puncture, enjoying high success rate, is suitable for clinical application.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2013年第5期525-527,共3页
Chinese Journal of Neuromedicine
关键词
术中超声
脑室穿刺术
脑积水
Intraoperative ultrasound
Ventricle puncture
Hydrocephalus
