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.
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.
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。
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