潘恩点穿刺在经翼点手术中的应用

The application of Paine point puncture through Pterional approach in Neurosurgery

摘要:

目的 探讨经翼点手术中行侧脑室穿刺的方法和操作技巧。方法 回顾性分析总结昆明医科大学第二附属医院神经外科2013年1月至2015年6月期间16例经翼点手术中采用潘恩点（paine point）穿刺侧脑室的操作方法和手术疗效。结果 16例患者侧脑室均穿刺成功，术中脑组织塌陷良好，为显微手术操作获得空间，术后给予持续引流脑脊液，能明显改善临床症状，缓解脑积水。结论 潘恩点穿刺简便易行，在经翼点手术中发挥重要作用。

Abstract:

Objective To study the methods and operative skills of surgical puncture of lateral ventricles.Methods To establish a retrospective analysis of 16 cases which were operated through pterional approach using Paine point puncture of lateral ventricle, reported by Kunming Medical University from Jan. 2013 to Jun. 2015.Results Sixteen patients were punctured successfully and the brain retraction was achieved during the surgery, for the purpose of making space for the operation under microscope. It also contributes to ameliorate postoperative hydrocephalus and relieve the symptoms with drainage of CSF.Conclusions Paine puncture is simple to practice, and it plays a significant role in neurosurgical procedures through pterional approach.