Abstract：
OBJECTIVE: To summarize the preliminary application experience of intraoperative ultrasound with burr hole probe in minimally invasive neurosurgery and to explore its application value.
METHODS: Thirty-one patients who underwent intraoperative ultrasound guided puncture with burr hole probe in our center from August 2018 to May 2024 were collected, including 16 cases of ventriculoperitoneal shunt operation, 6 cases of assisted stereotactic needle biopsy, 3 cases of intracranial pressure probe implantation in lateral ventricle, 3 cases of brain abscess puncture for external drainage, and 3 cases of intracranial cyst puncture and peritoneal drainage. During the procedures, the burr hole probe was used to locate the intracranial targets and guide the puncture. The postoperative computed tomography (CT) scans or combined postoperative pathological results could verify the accuracy of puncture. In addition, the intervention effect and recovery status of patients were also recorded.
RESULTS: The intraoperative ultrasound with burr hole probe could clearly display all the purposed targets and accurately guide the puncture procedures in all cases. All patients achieved satisfactory diagnostic and therapeutic results without new neurological dysfunction and serious complications.
CONCLUSIONS: The intraoperative ultrasound with burr hole probe is an effective device for demonstrating intracranial structures. It not only enables minimally invasive and precise diagnosis or treatment of many neurosurgical diseases, but also is simple and safe to operate, which has important promotional value in the neurosurgery.
METHODS: Thirty-one patients who underwent intraoperative ultrasound guided puncture with burr hole probe in our center from August 2018 to May 2024 were collected, including 16 cases of ventriculoperitoneal shunt operation, 6 cases of assisted stereotactic needle biopsy, 3 cases of intracranial pressure probe implantation in lateral ventricle, 3 cases of brain abscess puncture for external drainage, and 3 cases of intracranial cyst puncture and peritoneal drainage. During the procedures, the burr hole probe was used to locate the intracranial targets and guide the puncture. The postoperative computed tomography (CT) scans or combined postoperative pathological results could verify the accuracy of puncture. In addition, the intervention effect and recovery status of patients were also recorded.
RESULTS: The intraoperative ultrasound with burr hole probe could clearly display all the purposed targets and accurately guide the puncture procedures in all cases. All patients achieved satisfactory diagnostic and therapeutic results without new neurological dysfunction and serious complications.
CONCLUSIONS: The intraoperative ultrasound with burr hole probe is an effective device for demonstrating intracranial structures. It not only enables minimally invasive and precise diagnosis or treatment of many neurosurgical diseases, but also is simple and safe to operate, which has important promotional value in the neurosurgery.
摘要：
目的：总结术中超声钻孔探头在神经外科微创手术中的初步应用经验，探讨其应用价值。
方法：收集了2018年8月至2023年11月在我们中心接受术中超声引导下钻孔探头穿刺的29例患者，包括15例脑室-腹腔分流术,辅助立体定向针吸活检5例,侧脑室颅内压探头植入3例，3例脑脓肿穿刺外引流，颅内囊肿穿刺腹腔引流3例。在程序中,钻孔探针用于定位颅内目标并引导穿刺。术后CT扫描或结合术后病理结果可验证穿刺的准确性。此外,记录患者的干预效果和恢复情况。
结果：带毛刺孔探头的术中超声可清晰显示所有目的目标，并在所有情况下都能准确指导穿刺程序。所有患者均取得满意的诊断和治疗效果，未出现新的神经功能障碍和严重并发症。
结论：术中超声钻孔探头是显示颅内结构的有效装置。它不仅可以对许多神经外科疾病进行微创和精确的诊断或治疗，而且操作简单安全，在神经外科中具有重要的推广价值。
方法：收集了2018年8月至2023年11月在我们中心接受术中超声引导下钻孔探头穿刺的29例患者，包括15例脑室-腹腔分流术,辅助立体定向针吸活检5例,侧脑室颅内压探头植入3例，3例脑脓肿穿刺外引流，颅内囊肿穿刺腹腔引流3例。在程序中,钻孔探针用于定位颅内目标并引导穿刺。术后CT扫描或结合术后病理结果可验证穿刺的准确性。此外,记录患者的干预效果和恢复情况。
结果：带毛刺孔探头的术中超声可清晰显示所有目的目标，并在所有情况下都能准确指导穿刺程序。所有患者均取得满意的诊断和治疗效果，未出现新的神经功能障碍和严重并发症。
结论：术中超声钻孔探头是显示颅内结构的有效装置。它不仅可以对许多神经外科疾病进行微创和精确的诊断或治疗，而且操作简单安全，在神经外科中具有重要的推广价值。
