关于内窥镜辅助乙状结肠后入路与改良经颈静脉入路对面神经微血管减压的分析:一项比较尸体研究。

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Zainab Azad , Zahra Ali Haque , Javed Iqbal , Brijesh Sathian
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引用次数: 0

摘要

微血管减压(MVD)是治疗面肌痉挛(HFS)的标准手术方法,其中乙状结肠后(RA)和改良的经颈静脉(MTA)入路是最常用的。尸体模型在神经外科训练中发挥着至关重要的作用,提供解剖准确性和实践经验。然而,传统的尸体模型有明显的局限性,包括术中没有出血、脑脉动和自然组织弹性,这些都降低了手术模拟的真实性。福尔马林固定保留了组织结构,但增加了硬度,改变了精确手术操作所必需的触觉反馈。同样,虽然硅胶注射增强血管可视化,但它不会模拟活动性出血,从而阻止学员练习止血技术。胶乳注射被建议作为一种替代方法,提供更好的血管柔韧性和更真实的灌注。另一个关键的限制是缺乏搏动性,这是现场手术中有节奏的血管运动影响精度的关键因素。Rumi Faizer对脉动尸体模型的研究表明,通过提高血管处理和程序执行的真实性,可以增强血管训练。将类似的脉冲灌注技术应用于MVD训练可以创建更多的动态模拟,允许受训者在接近模拟现场手术的条件下完善他们的技能。将新鲜尸体、乳胶灌注和搏动模型纳入神经外科教育可以显著提高训练的保真度,确保更好的准备和改善手术结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Letter to the Editor Regarding: "Analysis of Endoscope-Assisted Retrosigmoid Approach versus Modified Transjugular Approach for Microvascular Decompression of the Facial Nerve: A Comparative Cadaveric Study"
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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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