Sun Wei-Yu, Feng Yu, Yu Jin, Zhang Ting-Bao, Ma Yi-Hui, Zhang Kun-Xian, Gu Xi-Qian, Niu Min, Li Xiang, Chen Jin-Cao, Zhao Wen-Yuan
Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Department of Anesthesia, Zhongnan Hospital, Wuhan University, Wuhan, 430062, China.
Curr Med Sci. 2025 Apr;45(2):349-362. doi: 10.1007/s11596-025-00015-5. Epub 2025 Mar 18.
The lack of clarity regarding the application performance of a hybrid operating room (HOR) and the uncertainty of surgical scheduling often lead to its inefficient application. This study aimed to review the clinical application of our neurosurgical HOR and propose a scale to score cases clearly.
We reviewed the operating procedures and duration of stay in 1865 HOR cases. The actual procedures of each case were summarized into 5 application types, and numerical assignment was used to distinguish the dependence of each type on our HOR: surgical procedures combined with interventional procedures (4 points, the highest dependence), surgical procedures combined with imaging procedures (3 points), interventional procedures (2 points), imaging procedures (1 point), and surgical procedures (0 points, the lowest dependence).
A novel scale that could score 1865 cases into those 5 grades was developed. The percentages by grade were as follows: 4 points, 4.24%; 3 points, 4.88%; 2 points, 20.75%; 1 point, 69.38%; and 0 points, 0.75%. The cumulative usage time was 4241.9 h, the duration of which was as follows: 4 points, 16.17%; 3 points, 15.50%; 2 points, 31.32%; 1 point, 35.62%; and 0 points, 1.39%.
The HOR serves as a multifunctional room to treat neurosurgical diseases. The scale helps to quickly prioritize cases that rely more on HOR, providing guidelines for surgical scheduling. Although our HOR is unsuitable for emergency cases, it clearly shows the application performance of our HOR to provide a reference for promoting its efficient application.
对于杂交手术室（HOR）的应用性能缺乏清晰认识以及手术排班的不确定性，常常导致其应用效率低下。本研究旨在回顾我们神经外科杂交手术室的临床应用情况，并提出一种能清晰对病例进行评分的量表。
我们回顾了1865例杂交手术室病例的手术过程及住院时间。每个病例的实际手术过程被归纳为5种应用类型，并采用数值赋值来区分每种类型对我们杂交手术室的依赖程度：外科手术联合介入手术（4分，依赖程度最高）、外科手术联合影像检查（3分）、介入手术（2分）、影像检查（1分）以及外科手术（0分，依赖程度最低）。
开发出一种能将1865例病例分为上述5个等级的新型量表。各等级所占百分比分别如下：4分，4.24%；3分，4.88%；2分，20.75%；1分，69.38%；0分，0.75%。累计使用时间为4241.9小时，各等级的时长占比分别如下：4分，16.17%；3分，15.50%；2分，31.32%；1分，35.62%；0分，1.39%。
杂交手术室作为治疗神经外科疾病的多功能手术室。该量表有助于快速对更依赖杂交手术室的病例进行优先级排序，为手术排班提供指导。虽然我们的杂交手术室不适合急诊病例，但它清晰地展示了我们杂交手术室的应用性能，为促进其高效应用提供参考。
