摘要
插入脑室外引流管(external ventricular drainage,EVD)是一种有效的神经外科治疗方式,EVD置管准确性与潜在的并发症相关,导管尖端的精确放置可以降低并发症的发生率。随着医疗技术的进步,对EVD置管技术的研究和应用发展迅速。该文就传统盲法置管、计算机断层扫描技术、超声引导、混合现实导航系统、激光定位神经导航、移动设备神经导航、立体定向系统、神经内窥镜辅助脑室穿刺全过程可视化技术引导EVD置管进行综述,为医护人员临床决策提供参考。
Insertion of external ventricular drainage(EVD)is an effective neurosurgical treatment approach.The accuracy of EVD insertion is related to potential complications,and the precise placement of the catheter tip can reduce the incidence of complications.With the progress of medical technology,the research and application of EVD catheterization technology are developing rapidly.This paper reviews the traditional blind catheterization,computed tomography,ultrasound guidance,mixed reality navigation system,laser positioning neural navigation,mobile device neural navigation,stereotactic system,and the visualization technology of the whole process of neuroendoscope assisted ventricle puncture to guide EVD catheterization to provide references for clinical decision-making by medical staff.
作者
韩真真
袁坤山
张海军
HAN Zhenzhen;YUAN Kunshan;ZHANG Haijun(National United Engineering Laboratory for Biomedical Material Modification,Dezhou,251100;Institute of Interventional&Vascular Surgery,School of Medicine,Tongji University,Shanghai,200072)
出处
《中国医疗器械杂志》
2025年第3期287-294,共8页
Chinese Journal of Medical Instrumentation
关键词
脑室外引流
脑室置管
颅脑外引流
脑出血
脑室内出血
蛛网膜下腔出血
external ventricular drainage(EVD)
ventricular catheterization
external cranial drainage
intracerebral hemorrhage
intraventricular hemorrhage
subarachnoid hemorrhage
