临床神经外科杂志2025，Vol.22Issue(2)：138-142,148,6.DOI:10.3969/j.issn.1672-7770.2025.02.004
手术机器人联合多模态影像融合技术辅助微创手术精准治疗中等量基底节区脑出血
Minimally invasive surgical precision treatment of moderate basal ganglia hemorrhage assisted by surgical robots and multimodal image fusion technology
摘要
Abstract
Objective To explore the efficacy of minimally invasive surgical techniques using surgical robots combined with multimodal image fusion technology in the treatment of moderate basal ganglia hemorrhage.Methods The clinical data of 40 patients with moderate basal ganglia hemorrhage(20-30 mL)admitted to the Departments of Neurosurgery,Dianjiang County People's Hospital and Chongqing Emergency Medical Center from January 2022 to May 2024 were analyzed retrospectively.Perfect preoperative imaging data such as plain head CT,diffusion tensor imaging(DTI)and craniocerebral CTA.All patients underwent stereotactic minimally invasive drilling and hematoma drainage assisted by surgical robots and multimodal image fusion technology,followed by postoperative injection of urokinase into the hematoma cavity for liquefaction and drainage.Results All 40 patients successfully completed the surgery.After one week of surgery,the residual hematoma volume was(3.9±1.22)mL,with a hematoma clearance rate of(91.4±7.8)％.One month after surgery,DTI examination was performed to measure the anisotropy score(FA)of the posterior limb of the affected internal capsule,which was significantly increased compared to preoperative values.The compression of the corticospinal tract(CST)on the affected side was significantly relieved,and the fiber bundle imaging was significantly increased compared to preoperative values.The 3-month follow-up after surgery showed that all patients had improved neurological function.Conclusions For patients with moderate basal ganglia hemorrhage(20-30 mL),minimally invasive surgery assisted by robots and multimodal image fusion technology can minimize iatrogenic injury,anatomically protect the CST,and provide a more precise and minimally invasive treatment.关键词
基底节区脑出血/手术机器人/多模态影像融合技术/皮质脊髓束/弥散张量成像Key words
basal ganglia hemorrhage/surgical robot/multimodal image fusion technology/corticospinal tract/diffusion tensor imaging分类
临床医学引用本文复制引用
谭治明,胡明亮,易亮,彭川,熊伟茗,谢宗义..手术机器人联合多模态影像融合技术辅助微创手术精准治疗中等量基底节区脑出血[J].临床神经外科杂志,2025,22(2):138-142,148,6.基金项目
重庆市科卫联合医学科研项目(2024MSXM097) （2024MSXM097）
垫江县社会民生医卫类科技项目(djkjxm2023shmskjcxywzd006) （djkjxm2023shmskjcxywzd006）
