脑出血以白质纤维束为保护靶点的微创治疗
|
摘要
脑出血是目前人们面临的世界性难题之一,传统的外科治疗及保守治疗仍未有效改善其高致残率、高致死率的特点,近年来随着科技的发展和人们微创理念的转变,微创外科治疗越来越受人们青睐,可能成为一种脑出血治疗的有效方式,但目前仍争论不一。规范脑出血的诊疗技术,有利于降低其死亡率和致残率,本文将对脑出血以白质纤维束为保护靶点的微创治疗理念进行综述。
Intra-cerebral hemorrhage is one of the difficult problems in the world. Traditional surgical treatment and conservative treatment have not effectively improved the characteristics of high disability rate and high fatality rate of cerebral hemorrhage. In recent years, with the development of science and technology and the change of people's concept of minimally invasive surgery, minimally invasive surgery is becoming more and more popular and might become an effective treatment for cerebral hemorrhage. Standardizing the diagnosis and treatment technology of cerebral hemorrhage is conducive to reducing its mortality and disability rate. This paper helps to summarize the treatment idea of Intra-cerebral Hemorrhage with white matter fiber tract as a protective target.
Intra-cerebral hemorrhage is one of the difficult problems in the world. Traditional surgical treatment and conservative treatment have not effectively improved the characteristics of high disability rate and high fatality rate of cerebral hemorrhage. In recent years, with the development of science and technology and the change of people's concept of minimally invasive surgery, minimally invasive surgery is becoming more and more popular and might become an effective treatment for cerebral hemorrhage. Standardizing the diagnosis and treatment technology of cerebral hemorrhage is conducive to reducing its mortality and disability rate. This paper helps to summarize the treatment idea of Intra-cerebral Hemorrhage with white matter fiber tract as a protective target.
引文
[1]Burns JD,Fisher JL,Cervantes-arslanian AM.Recent Advances in the Acute Management of Intracerebral Hemorrhage[J].Neurosurg Clin N Am,2018,29(2):263-272.
[2]Xia Z,Wu X,Li J,et al.Minimally Invasive Surgery is Superior to Conventional Craniotomy in Patients with Spontaneous Supratentorial Intracerebral Hemorrhage:A Systematic Review and Meta-Analysis[J].World Neurosurg,2018,115:266-273.
[3]Hersh EH,Gologorsky Y,Chartrain AG,et al.Minimally Invasive Surgery for Intracerebral Hemorrhage[J].Curr Neurol Neurosci Rep,2018,18(6):34.
[4]Ziai W,Nyquist P,Hanley DF.Surgical Strategies for Spontaneous Intracerebral Hemorrhage[J].Semin Neurol,2016,36(3):261-268.
[5]Yang G,Shao G.Clinical effect of minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage[J].Pak J Med Sci,2016,32(3):677-681.
[6]Fiorella D,Mocco J,Arthur A.Intracerebral hemorrhage:the next frontier for minimally invasive stroke treatment[J].J Neurointerv Surg,2016,8(10):987-988.
[7]Cai X,Rosand J.The Evaluation and Management of Adult Intracerebral Hemorrhage[J].Semin Neurol,2015,35(6):638-645.
[8]Dey M,Stadnik A,Awad IA.Spontaneous intracerebral and intraventricular hemorrhage:advances in minimally invasive surgery and thrombolytic evacuation,and lessons learned in recent trials[J].Neurosurgery,2014,74:S142-S150.
[9]Fiorella D,Arthur A,Bain M,et al.Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage:Rationale,Review of Existing Data and Emerging Technologies[J].Stroke,2016,47(5):1399-1406.
[10]Hanley DF,Thompson RE,Muschelli J,et al.Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation(MISTIE):a randomised,controlled,open-label,phase 2 trial[J].Lancet Neurol,2016,15(12):1228-1237.
[11]Fiorella D,Zuckerman SL,Khan IS,et al.Intracerebral Hemorrhage:A Common and Devastating Disease in Need of Better Treatment[J].World Neurosurg,2015,84(4):1136-1141.
[12]Zhang J,Lu S,Wang S,et al.Comparison and analysis of the efficacy and safety of minimally invasive surgery and craniotomy in the treatment of hypertensive intracerebral hemorrhage[J].Pak J Med Sci,2018,34(3):578-582.
[13]Labib MA,Shah M,Kassam AB,et al.The Safety and Feasibility of Image-Guided BrainPath-Mediated Transsulcul Hematoma Evacuation:A Multicenter Study[J].Neurosurgery,2017,80(4):515-524.
[14]Wang WM,Jiang C,Bai HM.New Insights in Minimally Invasive Surgery for Intracerebral Hemorrhage[J].Front Neurol Neurosci,2015,37:155-165.
[15]Rennert RC,Signorelli JW,Abraham P,et al.Minimally invasive treatment of intracerebral hemorrhage[J].Expert Rev Neurother,2015,15(8):919-933.
[16]Tan LA,Lopes DK,Munoz LF,et al.Minimally invasive evacuation of intraventricular hemorrhage with the Apollo vibration/suction device[J].J Clin Neurosci,2016,27:53-58.
[17]Malinova V,Schlegel A,Rohde V,et al.Catheter placement for lysis of spontaneous intracerebral hematomas:does a catheter position in the core of the hematoma allow more effective and faster hematoma lysis?[J].Neurosurg Rev,2017,40(3):397-402.
[18]Pantazis G,Tsitsopoulos P,Mihas C,et al.Early surgical treatment vs conservative management for spontaneous supratentorial intracerebral hematomas:A prospective randomized study[J].Surg Neurol,2006,66(5):492-501;discussion 501-492.
[19]Mendelow AD,Gregson BA,Fernandes HM,et al.Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage(STICH):a randomised trial[J].Lancet,2005,365(9457):387-397.
[20]Mendelow AD,Gregson BA,Rowan EN,et al.Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas(STICH II):a randomised trial[J].Lancet,2013,382(9890):397-408.
[21]Gregson BA,Broderick JP,Auer LM,et al.Individual patient data subgroup meta-analysis of surgery for spontaneous supratentorial intracerebral hemorrhage[J].Stroke,2012,43(6):1496-1504.
[22]Morgenstern LB,Demchuk AM,Kim DH,et al.Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage[J].Neurology,2001,56(10):1294-1299.
[23]Liang KS,Ding J,Yin CB,et al.Clinical study on minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage[J].Technol Health Care,2017,25(6):1061-1071.
[24]Fam MD,Hanley D,Stadnik A,et al.Surgical Performance in Minimally Invasive Surgery Plus Recombinant Tissue Plasminogen Activator for Intracerebral Hemorrhage Evacuation Phase III Clinical Trial[J].Neurosurgery,2017,81(5):860-866.
[25]XU K,HAI J.The clinical study of stereotactic microsurgery[J].Cell Biochem Biophys,2014,69(2):259-263.
[26]Alan N,Lee P,Ozpinar A,et al.Robotic Stereotactic Assistance(ROSA)Utilization for Minimally Invasive Placement of Intraparenchymal Hematoma and Intraventricular Catheters[J].World Neurosurg,2017,108:996-996.
[27]Lefranc M,Capel C,Pruvot-occean AS,et al.Frameless robotic stereotactic biopsies:a consecutive series of 100cases[J].J Neurosurg,2015,122(2):342-352.
[28]Malinova V,Stockhammer F,Atangana EN,et al.Catheter placement for lysis of spontaneous intracerebral hematomas:is a navigated stylet better than pointerguided frameless stereotaxy for intrahematomal catheter positioning?[J].Transl Stroke Res,2014,5(3):407-414.
[29]Beynon C,Schiebel P,Bosel J,et al.Minimally invasive endoscopic surgery for treatment of spontaneous intracerebral haematomas[J].Neurosurg Rev,2015,38(3):421-428.
[30]Liu L,Liu X,Zhang F,et al.Dual-Channel Minimally Invasive Endoscopic Port for Evacuation of DeepSeated Spontaneous Intracerebral Hemorrhage with Obstructive Hydrocephalus[J].World Neurosurg,2016,91:452-459.
[31]Yao Z,Hu X,You C,et al.Effect and Feasibility of Endoscopic Surgery in Spontaneous Intracerebral Hemorrhage:A Systematic Review and Meta-Analysis[J].World Neurosurg,2018,113:348-356.e2.
[32]Eroglu U,Kahilogullari G,Dogan I,et al.Surgical Management of Supratentorial Intracerebral Hemorrhages:Endoscopic Versus Open Surgery[J].World Neurosurg,2018,114:e60-e65.
[33]Zhao YN,Chen XL.Endoscopic treatment of hypertensive intracerebral hemorrhage:A technical review[J].Chronic Dis Transl Med,2016,2(3):140-146.
[34]Wang WH,Hung YC,Hsu SP,et al.Endoscopic hematoma evacuation in patients with spontaneous supratentorial intracerebral hemorrhage[J].J Chin Med Assoc,2015,78(2):101-107.
[35]Przybylowski CJ,Ding D,Starke RM,et al.Endoportassisted surgery for the management of spontaneous intracerebral hemorrhage[J].J Clin Neurosci,2015,22(11):1727-1732.
[36]Orakcioglu B,Beynon C,Bosel J,et al.Minimally invasive endoscopic surgery for treatment of spontaneous intracerebral hematomas:a single-center analysis[J].Neurocrit Care,2014,21(3):407-416.
[37]Spiotta AM,Fiorella D,Vargas J,et al.Initial multicenter technical experience with the Apollo device for minimally invasive intracerebral hematoma evacuation[J].Neurosurgery,2015,11 Suppl 2:243-251.
[38]Kellner CP,Chartrain AG,Nistal DA,et al.The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration(SCUBA)technique for minimally invasive endoscopic intracerebral hemorrhage evacuation[J].JNeurointerv Surg,2018,10(8):771-776.
[39]Vespa P,Hanley D,Betz J,et al.ICES(Intraoperative Stereotactic Computed Tomography-Guided Endoscopic Surgery)for Brain Hemorrhage:A Multicenter Randomized Controlled Trial[J].Stroke,2016,47(11):2749-2755.
[40]Fiorella D,Gutman F,Woo H,et al.Minimally invasive evacuation of parenchymal and ventricular hemorrhage using the Apollo system with simultaneous neuronavigation,neuroendoscopy and active monitoring with cone beam CT[J].J Neurointerv Surg,2015,7(10):752-757.
[41]Luh HT,Huang AP,Yang SH,et al.Local hemostatic matrix for endoscope-assisted removal of intracerebral hemorrhage is safe and effective[J].J Formos Med Assoc,2018,117(1):63-70.
[42]朱强.立体定向机器人系统结合弥散张量纤维束成像治疗基底节区脑出血36例[J].陕西医学杂志,2015,3:323-324.
[43]胡荣,冯东侠,冯华.神经导航下以白质纤维束为保护靶点的脑出血内镜下精准微创清除术[J].中华神经创伤外科电子杂志,2017,3:188-189.
[2]Xia Z,Wu X,Li J,et al.Minimally Invasive Surgery is Superior to Conventional Craniotomy in Patients with Spontaneous Supratentorial Intracerebral Hemorrhage:A Systematic Review and Meta-Analysis[J].World Neurosurg,2018,115:266-273.
[3]Hersh EH,Gologorsky Y,Chartrain AG,et al.Minimally Invasive Surgery for Intracerebral Hemorrhage[J].Curr Neurol Neurosci Rep,2018,18(6):34.
[4]Ziai W,Nyquist P,Hanley DF.Surgical Strategies for Spontaneous Intracerebral Hemorrhage[J].Semin Neurol,2016,36(3):261-268.
[5]Yang G,Shao G.Clinical effect of minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage[J].Pak J Med Sci,2016,32(3):677-681.
[6]Fiorella D,Mocco J,Arthur A.Intracerebral hemorrhage:the next frontier for minimally invasive stroke treatment[J].J Neurointerv Surg,2016,8(10):987-988.
[7]Cai X,Rosand J.The Evaluation and Management of Adult Intracerebral Hemorrhage[J].Semin Neurol,2015,35(6):638-645.
[8]Dey M,Stadnik A,Awad IA.Spontaneous intracerebral and intraventricular hemorrhage:advances in minimally invasive surgery and thrombolytic evacuation,and lessons learned in recent trials[J].Neurosurgery,2014,74:S142-S150.
[9]Fiorella D,Arthur A,Bain M,et al.Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage:Rationale,Review of Existing Data and Emerging Technologies[J].Stroke,2016,47(5):1399-1406.
[10]Hanley DF,Thompson RE,Muschelli J,et al.Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation(MISTIE):a randomised,controlled,open-label,phase 2 trial[J].Lancet Neurol,2016,15(12):1228-1237.
[11]Fiorella D,Zuckerman SL,Khan IS,et al.Intracerebral Hemorrhage:A Common and Devastating Disease in Need of Better Treatment[J].World Neurosurg,2015,84(4):1136-1141.
[12]Zhang J,Lu S,Wang S,et al.Comparison and analysis of the efficacy and safety of minimally invasive surgery and craniotomy in the treatment of hypertensive intracerebral hemorrhage[J].Pak J Med Sci,2018,34(3):578-582.
[13]Labib MA,Shah M,Kassam AB,et al.The Safety and Feasibility of Image-Guided BrainPath-Mediated Transsulcul Hematoma Evacuation:A Multicenter Study[J].Neurosurgery,2017,80(4):515-524.
[14]Wang WM,Jiang C,Bai HM.New Insights in Minimally Invasive Surgery for Intracerebral Hemorrhage[J].Front Neurol Neurosci,2015,37:155-165.
[15]Rennert RC,Signorelli JW,Abraham P,et al.Minimally invasive treatment of intracerebral hemorrhage[J].Expert Rev Neurother,2015,15(8):919-933.
[16]Tan LA,Lopes DK,Munoz LF,et al.Minimally invasive evacuation of intraventricular hemorrhage with the Apollo vibration/suction device[J].J Clin Neurosci,2016,27:53-58.
[17]Malinova V,Schlegel A,Rohde V,et al.Catheter placement for lysis of spontaneous intracerebral hematomas:does a catheter position in the core of the hematoma allow more effective and faster hematoma lysis?[J].Neurosurg Rev,2017,40(3):397-402.
[18]Pantazis G,Tsitsopoulos P,Mihas C,et al.Early surgical treatment vs conservative management for spontaneous supratentorial intracerebral hematomas:A prospective randomized study[J].Surg Neurol,2006,66(5):492-501;discussion 501-492.
[19]Mendelow AD,Gregson BA,Fernandes HM,et al.Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage(STICH):a randomised trial[J].Lancet,2005,365(9457):387-397.
[20]Mendelow AD,Gregson BA,Rowan EN,et al.Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas(STICH II):a randomised trial[J].Lancet,2013,382(9890):397-408.
[21]Gregson BA,Broderick JP,Auer LM,et al.Individual patient data subgroup meta-analysis of surgery for spontaneous supratentorial intracerebral hemorrhage[J].Stroke,2012,43(6):1496-1504.
[22]Morgenstern LB,Demchuk AM,Kim DH,et al.Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage[J].Neurology,2001,56(10):1294-1299.
[23]Liang KS,Ding J,Yin CB,et al.Clinical study on minimally invasive liquefaction and drainage of intracerebral hematoma in the treatment of hypertensive putamen hemorrhage[J].Technol Health Care,2017,25(6):1061-1071.
[24]Fam MD,Hanley D,Stadnik A,et al.Surgical Performance in Minimally Invasive Surgery Plus Recombinant Tissue Plasminogen Activator for Intracerebral Hemorrhage Evacuation Phase III Clinical Trial[J].Neurosurgery,2017,81(5):860-866.
[25]XU K,HAI J.The clinical study of stereotactic microsurgery[J].Cell Biochem Biophys,2014,69(2):259-263.
[26]Alan N,Lee P,Ozpinar A,et al.Robotic Stereotactic Assistance(ROSA)Utilization for Minimally Invasive Placement of Intraparenchymal Hematoma and Intraventricular Catheters[J].World Neurosurg,2017,108:996-996.
[27]Lefranc M,Capel C,Pruvot-occean AS,et al.Frameless robotic stereotactic biopsies:a consecutive series of 100cases[J].J Neurosurg,2015,122(2):342-352.
[28]Malinova V,Stockhammer F,Atangana EN,et al.Catheter placement for lysis of spontaneous intracerebral hematomas:is a navigated stylet better than pointerguided frameless stereotaxy for intrahematomal catheter positioning?[J].Transl Stroke Res,2014,5(3):407-414.
[29]Beynon C,Schiebel P,Bosel J,et al.Minimally invasive endoscopic surgery for treatment of spontaneous intracerebral haematomas[J].Neurosurg Rev,2015,38(3):421-428.
[30]Liu L,Liu X,Zhang F,et al.Dual-Channel Minimally Invasive Endoscopic Port for Evacuation of DeepSeated Spontaneous Intracerebral Hemorrhage with Obstructive Hydrocephalus[J].World Neurosurg,2016,91:452-459.
[31]Yao Z,Hu X,You C,et al.Effect and Feasibility of Endoscopic Surgery in Spontaneous Intracerebral Hemorrhage:A Systematic Review and Meta-Analysis[J].World Neurosurg,2018,113:348-356.e2.
[32]Eroglu U,Kahilogullari G,Dogan I,et al.Surgical Management of Supratentorial Intracerebral Hemorrhages:Endoscopic Versus Open Surgery[J].World Neurosurg,2018,114:e60-e65.
[33]Zhao YN,Chen XL.Endoscopic treatment of hypertensive intracerebral hemorrhage:A technical review[J].Chronic Dis Transl Med,2016,2(3):140-146.
[34]Wang WH,Hung YC,Hsu SP,et al.Endoscopic hematoma evacuation in patients with spontaneous supratentorial intracerebral hemorrhage[J].J Chin Med Assoc,2015,78(2):101-107.
[35]Przybylowski CJ,Ding D,Starke RM,et al.Endoportassisted surgery for the management of spontaneous intracerebral hemorrhage[J].J Clin Neurosci,2015,22(11):1727-1732.
[36]Orakcioglu B,Beynon C,Bosel J,et al.Minimally invasive endoscopic surgery for treatment of spontaneous intracerebral hematomas:a single-center analysis[J].Neurocrit Care,2014,21(3):407-416.
[37]Spiotta AM,Fiorella D,Vargas J,et al.Initial multicenter technical experience with the Apollo device for minimally invasive intracerebral hematoma evacuation[J].Neurosurgery,2015,11 Suppl 2:243-251.
[38]Kellner CP,Chartrain AG,Nistal DA,et al.The Stereotactic Intracerebral Hemorrhage Underwater Blood Aspiration(SCUBA)technique for minimally invasive endoscopic intracerebral hemorrhage evacuation[J].JNeurointerv Surg,2018,10(8):771-776.
[39]Vespa P,Hanley D,Betz J,et al.ICES(Intraoperative Stereotactic Computed Tomography-Guided Endoscopic Surgery)for Brain Hemorrhage:A Multicenter Randomized Controlled Trial[J].Stroke,2016,47(11):2749-2755.
[40]Fiorella D,Gutman F,Woo H,et al.Minimally invasive evacuation of parenchymal and ventricular hemorrhage using the Apollo system with simultaneous neuronavigation,neuroendoscopy and active monitoring with cone beam CT[J].J Neurointerv Surg,2015,7(10):752-757.
[41]Luh HT,Huang AP,Yang SH,et al.Local hemostatic matrix for endoscope-assisted removal of intracerebral hemorrhage is safe and effective[J].J Formos Med Assoc,2018,117(1):63-70.
[42]朱强.立体定向机器人系统结合弥散张量纤维束成像治疗基底节区脑出血36例[J].陕西医学杂志,2015,3:323-324.
[43]胡荣,冯东侠,冯华.神经导航下以白质纤维束为保护靶点的脑出血内镜下精准微创清除术[J].中华神经创伤外科电子杂志,2017,3:188-189.