| 陈施玲
，唐颖馨
，王文志
，赵性泉
，董强
，唐宇平
，伍国锋
，薛孟周
，朱遂强
，唐洲平.脑出血微创血肿清除手术穿刺及抽吸器械的研究进展[J].神经损伤功能重建,2023,(10):608-610 |
| 脑出血微创血肿清除手术穿刺及抽吸器械的研究进展 |
| Research Progress on Minimally Invasive Surgical Puncture and Aspiration Instruments forHematoma Aspirations of Cerebral Hemorrhage |
| |
| DOI： |
| 中文关键词: 脑出血 微创手术 血肿清除 个体化治疗 |
| 英文关键词: cerebral hemorrhage minimally invasive surgery hematoma evacuation individualized treatment |
| 基金项目:国家自然科学基
金重点项目（No.
92148206）；
湖北省重点研发
计划（No. 2021B
CA109）；
同济医院医学创
新与转化孵育项
目（No. 2022ZHF
Y01） |
|
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| 中文摘要: |
| 近20余年，微创血肿清除技术的发展为脑出血的治疗带来了新的方向。与此同时，微创穿刺和抽吸设
备的研发促进了微创血肿清除技术的发展。本文详细介绍了4种主流微创手术术式（硬通道锥颅穿刺血肿清
除术、定向软通道血肿引流术、神经内镜手术、小骨窗显微手术）的代表性穿刺和抽吸器械。血肿清除的最终
目的应当是实现微创化、可视化、智能化、个体化。目前上市的器械已基本满足微创化和可视化的需求，将来
需要更多的器械革新以实现智能化和个体化的需求，最终实现脑出血微创血肿清除的治疗同质化。 |
| 英文摘要: |
| In the past two decades, the development of minimally invasive surgery (MIS) for hematoma clearance
has brought new approaches to the treatment of intracerebral hemorrhage. At the same time, the development of
minimally invasive puncture and aspiration devices has promoted the development of MIS. This review provides a
detailed introduction to the representative puncturing and aspiration instruments for four representative minimally
invasive surgical procedures (craniopuncture, stereotactic soft channel puncture and drainage, neuroendoscopic surgery, and small bone window microsurgery). The ultimate goal of hematoma clearance should be achieving minimally invasive, visualizable, intelligent, and individualized treatment. Currently available instruments have met
the needs of minimally invasive and visualizable treatment, but in the future, more instrument innovation is needed
to achieve intelligent and individualized treatment, so as to ultimately achieve homogenization of minimally invasive hematoma clearance treatment for intracerebral hemorrhage. |
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