手術(shù)機(jī)器人聯(lián)合多模態(tài)影像融合技術(shù)輔助微創(chuàng)手術(shù)精準(zhǔn)治療中等量基底節(jié)區(qū)腦出血

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【中圖分類號(hào)】 R651 【文獻(xiàn)標(biāo)志碼】 A 【文章編號(hào)】1672-7770（2025）02-0138-06

Abstract： Objective To explore the efficacy minimally invasive surgical techniques using surgical robots combined with multimodal image fusion technology in the treatment moderate basal ganglia hemorrhage. Methods clinical data 4O patients with moderate basal ganglia hemorrhage（ ）admitted to the s Dianjiang County People's and Emergency Center from January 2022 to May 2024 were analyzed retrospectively. Perfect preoperative imaging data such as plain head CT， difusion tensor imaging （DTI） and craniocerebral CTA. All patients underwent stereotactic minimaly invasive drilling and hematoma drainage assisted by surgical robots and multimodal image fusion technology， followed by postoperative injection urokinase into the hematoma cavity for liquefaction and drainage. Results All 40 patients successfuly completed the surgery. After one week surgery， the residual hematoma volume ， with a hematoma clearance rate （91.4±7.8）% .One month after surgery，DTI examination was performed to measure the anisotropy score（FA） the posterior limb the affected internal capsule， which was significantly increased compared to preoperative values. compresson the corticospinal tract（CST） on the affected side was significantly relieved， and the fiber bundle imaging was significantly increased compared to preopeative values. 3-month follow-up after surgery showed that all patients had improved neurological function. Conclusions For patients with moderate basal ganglia hemorrhage（ 20 - ）， minimally invasive surgery assisted by robots and multimodal image fusion technology can minimize iatrogenic injury， anatomicaly protect the CST， and provide a more precise and minimally invasive treatment.

Key words： basal ganglia hemorrhage； surgical robot； multimodal image fusion technology； corticospinal tract； diffusion tensor imaging

高血壓性腦出血（hypertensiveintracerebralhemorrhage，HICH）是腦卒中的一種嚴(yán)重類型，最常見(jiàn)的出血部位為基底節(jié)區(qū)。（剩余11175字）