我们怎么做：超声引导下的水肺技术用于脑内血肿的清除

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-02 DOI:10.1007/s00701-025-06539-y

Alejandra Mosteiro, Alberto Di Somma, Luis Reyes, Ana Rodríguez-Hernández, Ramon Torné

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引用次数: 0

摘要

背景：在最近的试验中，微创治疗脑内血肿变得越来越重要。凝块清除必须尽量减少附带损伤，同时确保最佳的血容量减少。技术的改进需要系统而动态的程序，其中超声是一项资产。方法描述“水肺”手术流程和工作流程：内镜下立体定向置管、吸清系统清除血块。一步一步详细介绍超声检查结果。结论颅内出血内镜下腔灌流可能成为脑血管外科手术的主要手段。超声提供血肿清除的实时反馈，成为术中决策的可靠动态因素。然而，美国需要不同的操作设置，并增加了学习曲线。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How we do it: Ultrasound-guided scuba technique for evacuation of intracerebral hematoma

Background

Minimally invasive treatment of intracerebral hematomas is gaining importance following recent trials. Clot evacuation must minimise collateral damage while assuring optimal blood-volume reduction. Technical refinements call for systematic yet dynamic procedures, where ultrasound is an asset.

Method

Description of the “Scuba” procedure and workflow: stereotactic canula insertion, clot evacuation with aspiration-debriding system under endoscopic view. Step-by-step ultrasound findings detailed.

Conclusion

ICH endoscopic evacuation may become a workhorse for cerebrovascular surgeons. Ultrasound provides real-time feedback on hematoma evacuation, becoming a reliable dynamic element in intraoperative decision-making. Yet, US requires a different operative setup and adds on to the learning curve.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.