从神经解剖学角度完善 Kocher 穴,提高脑室造口术的精确度:技术说明和文献综述

I. I. Sulaiman
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引用次数: 0

摘要

这项研究旨在评估伊拉克库尔德斯坦埃尔比勒 PAR 私立医院的 200 名患者在使用内窥镜第三脑室造口术 (ETV) 和脑室外引流术 (EVD) 时使用改良 Kocher 点进行脑室造口术的有效性和安全性。改良后的 Kocher 点位于鼻孔后上方 11.5 厘米处,外侧 3 厘米处,冠状缝合前 0-1 厘米处。这将最大程度地减少出血和导管错位的发生。解剖结构井然有序,在穿越蒙罗孔进入第三脑室的过程中没有任何困难。使用改良的 Kocher 点可增加脑室造口术的可靠性和准确性,从而减少并发症,提高手术的整体效果。它克服了传统入路点的所有缺点,并进一步帮助提高了 ETV 和 EVD 的效率。必须进行更多的研究,以支持这种改良在其他临床环境中的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuroanatomical refinement of Kocher’s point for enhanced precision in ventriculostomy: A technical note and a literature review
This study was designed to assess the effectiveness and safety of using a modified Kocher’s point for ventriculostomy using endoscopic third ventriculostomy (ETV) and external ventricular drainage (EVD) in 200 patients at PAR Private Hospital in Erbil, Iraqi Kurdistan. In this retrospective analysis, a total of 200 patients who were diagnosed with obstructive hydrocephalus and underwent ETV and EVD utilizing a modified entry site were included. The revised Kocher point was located 11.5 cm posterior and superior to the nasion, 3 cm laterally, and 0–1 cm before the coronal suture. The use of this modified Kocher’s point has brought much improvement in surgical precision and safety. This would minimize incidences of bleeding and misplacement of the catheters. The anatomical structure was well organized, and nothing was challenging in the process of traversing through the foramen of Monro into the third ventricle. It was easily introduced through the modified Kocher point with increasing efficacy and near zero possibility of sustaining injury to the limiting cerebral region. Using the modified point of Kocher provides added reliability and accuracy to ventriculostomy, thereby reducing complications and increasing the overall outcome of surgeries. It overcomes all the drawbacks of classical entry sites and, further, helps in increasing the productivity of ETV and EVD. More research must be done to support the benefits of this modification in other clinical settings.
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