2例机器人辅助立体定向颅内血肿抽吸术病例报道

doi:10.3969/j.issn.1673-5765.2025.12.004

中国卒中杂志 ›› 2025, Vol. 20 ›› Issue (12): 1493-1498.DOI: 10.3969/j.issn.1673-5765.2025.12.004

2例机器人辅助立体定向颅内血肿抽吸术病例报道

黄伟洪^1，2，郑军³，张东^1，4

1 北京 100730 北京医院神经外科，国家老年医学中心
2 中国医学科学院北京协和医学院
3 北京市大兴区人民医院脑血管外科
4 中国医学科学院老年医学研究院

收稿日期:2025-09-19 修回日期:2025-12-09 接受日期:2025-12-10 出版日期:2025-12-20 发布日期:2025-12-20
通讯作者: 郑军 zjcc1979@163.com

Report of Two Cases of Robot-Assisted Stereotactic Intracranial Hematoma Aspiration

HUANG Weihong^1,2, ZHENG Jun³, ZHANG Dong^1,4

1 Department of Neurosurgery, Beijing Hospital, National Center for Gerontology, Beijing 100730, China
2 Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
3 Department of Cerebrovascular Neurosurgery, Beijing Daxing District People’s Hospital, Beijing 102600, China
4 Institute of Geriatrics Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China

Received:2025-09-19 Revised:2025-12-09 Accepted:2025-12-10 Online:2025-12-20 Published:2025-12-20
Contact: ZHENG Jun, E-mail: zjcc1979@163.com

摘要/Abstract

摘要： 立体定向微创手术在高血压性脑出血（hypertensive intracerebral hemorrhage，HICH）的外科治疗中占据重要地位，但其存在定位误差，在出血量少、需要精准定位的颅内出血治疗中存在局限性。本文报道2例接受微创治疗的HICH患者，1例为脑干出血，另1例为基底节出血，均采用机器人辅助立体定向颅内血肿抽吸术治疗，术中抽出大部分血肿后未留置引流管，术后复查头颅CT示血肿基本消失，患者恢复良好。本文通过对这2例HICH患者的诊疗过程进行分析和讨论，旨在为机器人辅助立体定向技术治疗HICH提供临床参考。

关键词: 高血压性脑出血; 机器人辅助; 立体定向; 血肿抽吸术

Abstract: Stereotactic minimally invasive surgery plays an important role in the surgical treatment of hypertensive intracerebral hemorrhage (HICH). However, due to its localization errors, it has limitations in treating intracranial hemorrhage that is small in volume and requires precise localization. This article reports two patients with HICH who underwent minimally invasive treatment: one involving brainstem hemorrhage and the other involving basal ganglia hemorrhage. Both cases were treated with robot-assisted stereotactic intracranial hematoma aspiration. After most of the hematoma was aspirated intraoperatively, no drainage catheter was placed. Postoperative cranial CT showed that the hematoma was almost completely resolved, and the patients recovered well. By analyzing and discussing the diagnosis and treatment processes for these two cases of HICH, this article aims to provide a reference for the treatment of HICH using robot-assisted stereotactic technology.

Key words: Hypertensive intracerebral hemorrhage; Robot-assisted; Stereotactic; Hematoma aspiration

中图分类号:

R74
R651

黄伟洪, 郑军, 张东. 2例机器人辅助立体定向颅内血肿抽吸术病例报道[J]. 中国卒中杂志, 2025, 20(12): 1493-1498.

HUANG Weihong, ZHENG Jun, ZHANG Dong. Report of Two Cases of Robot-Assisted Stereotactic Intracranial Hematoma Aspiration[J]. Chinese Journal of Stroke, 2025, 20(12): 1493-1498.

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2例机器人辅助立体定向颅内血肿抽吸术病例报道

Report of Two Cases of Robot-Assisted Stereotactic Intracranial Hematoma Aspiration

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