手术机器人联合多模态影像融合技术辅助微创手术精准治疗中等量基底节区脑出血

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【中图分类号】 R651 【文献标志码】 A 【文章编号】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

高血压性脑出血（hypertensiveintracerebralhemorrhage，HICH）是脑卒中的一种严重类型，最常见的出血部位为基底节区。（剩余11175字）