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我们的做法：超声引导下潜水技术用于脑内血肿清除

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

作者信息

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

机构信息

Department of Neurosurgery, Hospital Clínic de Barcelona, Barcelona, Spain.

Faculty of Medicine, University of Barcelona, Barcelona, Spain.

出版信息

Acta Neurochir (Wien). 2025 May 2;167(1):130. doi: 10.1007/s00701-025-06539-y.

DOI:10.1007/s00701-025-06539-y
PMID:40314818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12048407/
Abstract

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.

摘要

背景

在最近的试验之后，脑内血肿的微创治疗正变得越来越重要。血凝块清除必须在确保最佳血容量减少的同时，将附带损伤降至最低。技术改进需要系统且动态的程序，而超声在此方面是一项优势。

方法

描述“Scuba”手术及其工作流程：立体定向套管插入，在内镜视野下使用抽吸清创系统清除血凝块。详细介绍了超声检查的逐步结果。

结论

脑出血的内镜清除术可能会成为脑血管外科医生的常用方法。超声可为血肿清除提供实时反馈，成为术中决策中可靠的动态因素。然而，超声需要不同的手术设置，并且会增加学习曲线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/59d08b830071/701_2025_6539_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/9f1919be8700/701_2025_6539_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/12293d13c60a/701_2025_6539_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/701184e69ec2/701_2025_6539_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/59d08b830071/701_2025_6539_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/9f1919be8700/701_2025_6539_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/12293d13c60a/701_2025_6539_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/701184e69ec2/701_2025_6539_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac10/12048407/59d08b830071/701_2025_6539_Fig4_HTML.jpg

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Surgical Performance Determines Functional Outcome Benefit in the Minimally Invasive Surgery Plus Recombinant Tissue Plasminogen Activator for Intracerebral Hemorrhage Evacuation (MISTIE) Procedure.手术表现决定了微创手术联合重组组织型纤溶酶原激活剂治疗脑出血清除术（MISTIE）的功能结局获益。
Neurosurgery. 2019 Jun 1;84(6):1157-1168. doi: 10.1093/neuros/nyz077.
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