Ames N K, Tucker H A, Chapin L T, Gaynor P J
Department of Large Animal Clinial Science, College of Veterinary Medicine, East Lansing, MI, USA.
Am J Vet Res. 1995 Feb;56(2):199-202.
A surgical technique was developed for implanting a flexible polyurethane cannula in a lateral ventricle in the brain of calves. Initially, measurements were made on 25 calves at necropsy to develop equations for calculating coordinates for cannula placement. The distance (cm) caudal, in the sagittal plane, from the coronal suture line to the center of a hole to be drilled in the parietal bone of the skull was: 0.73 +/- (0.00925 x body weight [kg]). The distance (cm) lateral from the midline to the center of the hole to be drilled was: 0.018 +/- (0.6464 x distance caudal). The depth (cm) from the surface of the skull to the dorsal surface of the lateral ventricle was: 2.29 + (0.0159 x body weight [kg]). Surgery was subsequently performed on 17 calves. A 5-mm-diameter hole was drilled through the skull with a hand trephine at coordinates derived from the aforementioned regression equations. A polyurethane cannula (total length, 30 cm; 1 mm ID; 2 mm OD) covering a stainless-steel 20-gauge blunt-tipped needle (stylet) was lowered through the brain and into a lateral ventricle at an angle of 20.5 degrees relative to the frontal bones of the skull. The blunt-tipped needle was then removed, and CSF was allowed to drip from the cannula to verify placement. One stainless-steel screw was inserted 0.6 cm medial, and another was inserted 0.6 cm caudal to the hole in the skull. The area around the cannula, bone screws, and hole in the skull was covered with dental acrylic (approx 2 cm in diameter) to stabilize the cannula.(ABSTRACT TRUNCATED AT 250 WORDS)
开发了一种外科技术,用于在小牛脑的侧脑室植入柔性聚氨酯套管。最初,在25头小牛尸检时进行测量,以建立计算套管放置坐标的方程。在矢状面中,从冠状缝线到颅骨顶骨上要钻孔中心的尾侧距离(厘米)为:0.73±(0.00925×体重[千克])。从中线到要钻孔中心的外侧距离(厘米)为:0.018±(0.6464×尾侧距离)。从颅骨表面到侧脑室背侧表面的深度(厘米)为:2.29 +(0.0159×体重[千克])。随后对17头小牛进行了手术。使用手摇环钻在由上述回归方程得出的坐标处钻一个直径5毫米的颅骨孔。将覆盖不锈钢20号钝头针(管芯)的聚氨酯套管(总长度30厘米;内径1毫米;外径2毫米)以相对于颅骨额骨20.5度的角度穿过大脑放入侧脑室。然后取出钝头针,让脑脊液从套管中滴出以验证放置位置。在颅骨孔内侧0.6厘米处插入一个不锈钢螺钉,在孔尾侧0.6厘米处插入另一个。套管、骨螺钉和颅骨孔周围区域用牙科丙烯酸(直径约2厘米)覆盖以固定套管。(摘要截短于250字)