神经外科机器人辅助治疗原发性脑干出血应用进展

Advances in the application of robot-assisted neurosurgery in treatment of primary brainstem hemorrhage

摘要:

原发性脑干出血（PBSH）是一种病死率及致残率极高的急危重症，由于脑干位置深，周围毗邻重要神经血管组织，传统手术治疗风险极大，治疗方案的选择一直存在争议。随着神经外科手术机器人技术的发展，其以精准、微创的优势，为PBSH的治疗提供了新的选择。该文综述了神经外科机器人辅助治疗PBSH的核心技术原理、临床应用现状、治疗效果及安全性，并探讨了影响疗效的关键因素，旨在为临床实践提供参考。

Abstract:

Primary brainstem hemorrhage （PBSH） is a life-threatening acute disease characterized by high mortality and disability rates， and due to the deep anatomical location of the brainstem and its proximity to critical neurovascular structures， traditional surgical interventions have significant risks， with controversies over the selection of treatment regimens. With the rapid development of surgical robot techniques in neurosurgery， its advantages of precision and noninvasiveness have provided new options for the treatment of PBSH. This article reviews the core technological principles of neurosurgical robots in the treatment of PBSH， as well as the current status of clinical application， therapeutic outcomes， and safety profiles， and it also discusses the key influencing factors for treatment outcome， in order to provide a reference for clinical practice.