机器人辅助脑立体定向手术的临床应用分析.docVIP

机器人辅助脑立体定向手术的临床应用分析 【摘要】目的：探讨机器人辅助脑立体定向手术的临床应用价值。方法：回顾性分析自2021年1月至2021年12月在蚌埠医学院第二附属医院神经外科收治的11例患者临床资料，均在华科Sinovation机器人辅助下完成手术。结果：所有患者均精准定位靶点，并顺利完成穿刺打靶，5例脑出血穿刺引流术后血肿体积明显减少，其中3例基底节出血，2例脑干出血，引流管在位良好；2例颅内占位性病变穿刺活检均获得阳性病理：1例少突胶质细胞瘤，1例星形细胞瘤；2例三叉神经痛微球囊压迫术，术后即刻疼痛消失；2例STN-DBS术后微毁损效应明显，模拟电场与电极重合良好。术后无症状性出血1例，余均无神经功能损伤及感染发生。结论：机器人辅助脑立体定向手术具有微创、精准、安全等优势，在神经外科手术中具有非常实用的价值。 【关键词】机器人；定向技术；微创；精准 [Abstract] Objective: To explore the clinical value of robot assisted brain stereotactic surgery. Methods: the clinical data of 11 patients treated in the Department of Neurosurgery of the Second Affiliated Hospital of Bengbu Medical College from January 2021 to December 2021 were analyzed retrospectively. All of them completed the operation with the assistance of Huake innovation robot. Results: all patients accurately located the target and successfully completed the puncture and targeting. The hematoma volume decreased significantly in 5 cases of intracerebral hemorrhage after puncture and drainage, including 3 cases of basal ganglia hemorrhage and 2 cases of brainstem hemorrhage. The drainage tube was in good position; Two cases of intracranial space occupying lesions obtained positive pathology: 1 case of oligodendroglioma, 1 case of astrocytoma; The pain disappeared immediately after microsphere capsule compression in 2 cases of trigeminal neuralgia; The microdamage effect was obvious in 2 cases of STN-DBS, and the simulated electric field coincided well with the electrode. Asymptomatic hemorrhage occurred in 1 case, and there was no neurological injury and infection in the rest. Conclusion: robot assisted brain stereotactic surgery has the advantages of minimally invasive, accurate and safe. It has very practical value in neurosurgery. [Keywords] Robot; Orientation technology; Minimally invasive; accurate 现代外科手术的重要理念是精准、微创，尤其对于神经外科手术来说，因其涉及人体中枢-大脑，因此在最大程度处理病变的同时，保护重要结构的功能完整性则显得更为必要。随着神经影像、计算机技术等的快速发展，神经外科机器人应运而生，其具有精准、微创、自动化等特点，已逐渐应用于神经外科手术的各个领域，并取得显著效果。本中心应用华科Sinovation机器人辅助完成12例患