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智能脑出血治疗:需求驱动下的临床进展与技术突破

赵润生 李新伟 王乔 张旭 张东

中国卒中杂志2025,Vol.20Issue(12):1488-1492,5.
中国卒中杂志2025,Vol.20Issue(12):1488-1492,5.DOI:10.3969/j.issn.1673-5765.2025.12.003

智能脑出血治疗:需求驱动下的临床进展与技术突破

Intelligent Intracerebral Hemorrhage Treatment:Clinical Advances and Technological Breakthroughs Driven by Demand

赵润生 1李新伟 2王乔 3张旭 2张东1

作者信息

  • 1. 北京 100730 北京医院神经外科,国家老年医学中心,中国医学科学院老年医学研究院||中国医学科学院北京协和医学院
  • 2. 武汉联影智融医疗科技有限公司
  • 3. 北京 100730 北京医院神经外科,国家老年医学中心,中国医学科学院老年医学研究院
  • 折叠

摘要

Abstract

Clinical management of intracerebral hemorrhage(ICH)faces multiple challenges,including ill-defined surgical timing,low hematoma clearance efficiency,and substantial surgical trauma.Conventional surgical approaches,such as craniotomy hematoma removal and stereotactic hematoma aspiration,often fall short of meeting clinical demands due to limitations of high invasiveness and insufficient precision.In recent years,propelled by artificial intelligence and novel imaging technologies,the treatment of ICH has accelerated its transition toward intelligence and precision.Preoperatively,diagnostic models provide an accurate basis for surgical decision-making by improving the accuracy of ICH etiology identification and the ability to predict hematoma expansion risk.Intraoperatively,intelligent auxiliary systems further optimize surgical outcomes through brain shift monitoring and real-time trajectory adjustments.Notably,robot-assisted minimally invasive stereotactic puncture therapy,leveraging multi-modal image fusion technology and micrometer-level execution precision of robotic arms,significantly shortens operative time and reduces the risk of complications,thereby being progressively adopted in clinical practice.This article reviews the clinical application effects and latest technological advancements in robot-assisted ICH surgery,aiming to provide references for the breakthroughs and development of intelligent ICH treatment technologies in the context of medical-engineering integration.

关键词

脑出血/机器人辅助手术/精准治疗/微创治疗

Key words

Intracerebral hemorrhage/Robot-assisted surgery/Precision therapy/Minimally invasive therapy

分类

医药卫生

引用本文复制引用

赵润生,李新伟,王乔,张旭,张东..智能脑出血治疗:需求驱动下的临床进展与技术突破[J].中国卒中杂志,2025,20(12):1488-1492,5.

基金项目

中国医学科学院医学与健康科技创新工程(科技成果转化与应用专项项目)(2024-I2M-ZH-024) (科技成果转化与应用专项项目)

中国卒中杂志

OA北大核心

1673-5765

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