经颞(trans-sylvian)入路微创超声引导下颅内血肿清除术：我的操作方法。
Portable ultrasound-guided Trans-sylvian minimally invasive intracerebral hemorrhage surgery: how I do it.
机构信息
Department of Neurosurgery, The Fourth Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Department of Neurosurgery, Suzhou Kowloon Hospital, Shanghai Jiaotong University School of Medicine, Suzhou, 215000, China.
出版信息
Acta Neurochir (Wien). 2024 Nov 5;166(1):441. doi: 10.1007/s00701-024-06334-1.
BACKGROUND
Intracerebral hemorrhage (ICH) is a common neurosurgical emergency with high morbidity and mortality. The trans-sylvian microsurgical evacuation of ICH in the basal ganglia is a classic but technically challenging approach.
METHOD
We describe a novel technique using handheld portable ultrasound to guide trans-sylvian, trans-insular evacuation of basal ganglia hematomas, allowing for rapid identification, precise evacuation, and post-evacuation assessment from a small Sylvian fissure opening.
CONCLUSION
Intraoperative portable ultrasonography is a rapid, simple, and inexpensive technique that provides real-time visualization of ICH and key cortical structures, minimizing potential damage during exposure and exploration.
背景
脑出血（ICH）是一种常见的神经外科急症，具有高发病率和死亡率。经外侧裂-岛叶显微手术清除基底节区脑出血是一种经典但技术上具有挑战性的方法。
方法
我们描述了一种使用手持便携式超声引导经外侧裂-经岛叶清除基底节血肿的新技术，通过小的外侧裂开口可快速识别、精确清除血肿，并在术后进行评估。
结论
术中便携式超声是一种快速、简单且经济的技术，可实时可视化 ICH 和关键皮质结构，最大限度地减少暴露和探查过程中的潜在损伤。
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