Abstract：
OBJECTIVE: This study aimed to investigate the feasibility, safety, and efficacy of the neuroendoscopy-assisted entire-process visualization technique (NEAEVT) of ventricular puncture for external ventricular drainage.
METHODS: Eighty-eight patients with cerebral hemorrhage who underwent unilateral ventricular puncture for external ventricular drainage in our hospital from June 2021 to June 2023 were analyzed. Patients were grouped according to puncture technique: NEAEVT (30 patients), freehand (30 patients), and laser-navigation-assisted (28 patients). Operation time, drainage tube placement, and catheter-related hemorrhage incidence were compared between the groups.
RESULTS: Mean operation time significantly differed between the freehand, NEAEVT, and laser-assisted groups (17.07, 18.37, and 34.04 min, respectively; P <0.0001). The position of the drainage tube was optimal or adequate in all patients of the NEAEVT group; optimal/adequate positioning was achieved in 80% of the freehand group. No catheter-related hemorrhage occurred in the NEAEVT group. Three freehand group patients and 2 laser-assisted group patients experienced catheter-related hemorrhage.
CONCLUSIONS: The NEAEVT of ventricular puncture is accurate and achieves ventricular drainage without significantly increasing surgical trauma, operation time, or incidence of hemorrhage.
METHODS: Eighty-eight patients with cerebral hemorrhage who underwent unilateral ventricular puncture for external ventricular drainage in our hospital from June 2021 to June 2023 were analyzed. Patients were grouped according to puncture technique: NEAEVT (30 patients), freehand (30 patients), and laser-navigation-assisted (28 patients). Operation time, drainage tube placement, and catheter-related hemorrhage incidence were compared between the groups.
RESULTS: Mean operation time significantly differed between the freehand, NEAEVT, and laser-assisted groups (17.07, 18.37, and 34.04 min, respectively; P <0.0001). The position of the drainage tube was optimal or adequate in all patients of the NEAEVT group; optimal/adequate positioning was achieved in 80% of the freehand group. No catheter-related hemorrhage occurred in the NEAEVT group. Three freehand group patients and 2 laser-assisted group patients experienced catheter-related hemorrhage.
CONCLUSIONS: The NEAEVT of ventricular puncture is accurate and achieves ventricular drainage without significantly increasing surgical trauma, operation time, or incidence of hemorrhage.
摘要：
目的：本研究旨在探讨可行性，安全,以及神经内镜辅助的心室穿刺全过程可视化技术（NEAEVT）用于心室外引流的有效性。
方法：对2021年6月至2023年6月在我院行单侧脑室穿刺外引流的88例脑出血患者进行分析。患者根据穿刺技术分组：NEAEVT（30例），徒手（30名患者），和激光导航辅助（28例）。操作时间,引流管放置,比较两组患者导管相关出血发生率。
结果：徒手之间的平均手术时间显着不同，附近,和激光辅助组（17.07、18.37和34.04分钟，分别为；P<0.0001)。在NEAEVT组的所有患者中，引流管的位置都是最佳或足够的；徒手组的80％实现了最佳/适当的定位。NEAEVT组无导管相关性出血。徒手组3例患者和激光辅助组2例患者发生导管相关性出血。
结论：心室穿刺的NEAEVT是准确的，并且在不明显增加手术创伤的情况下实现了心室引流，操作时间,或出血的发生率。
方法：对2021年6月至2023年6月在我院行单侧脑室穿刺外引流的88例脑出血患者进行分析。患者根据穿刺技术分组：NEAEVT（30例），徒手（30名患者），和激光导航辅助（28例）。操作时间,引流管放置,比较两组患者导管相关出血发生率。
结果：徒手之间的平均手术时间显着不同，附近,和激光辅助组（17.07、18.37和34.04分钟，分别为；P<0.0001)。在NEAEVT组的所有患者中，引流管的位置都是最佳或足够的；徒手组的80％实现了最佳/适当的定位。NEAEVT组无导管相关性出血。徒手组3例患者和激光辅助组2例患者发生导管相关性出血。
结论：心室穿刺的NEAEVT是准确的，并且在不明显增加手术创伤的情况下实现了心室引流，操作时间,或出血的发生率。
