耳后磨骨槽技术在脑深部电刺激术中的应用

Application of retroauricular bone grinding groove technology in deep brain stimulation

脑深部电刺激术已广泛应用于帕金森病、特发性震颤、肌张力障碍、难治性癫痫等神经精神疾病,操作步骤复杂,临床应用易引起一定的并发症如颅内出血、感染等手术并发症,电极断裂、电极移位等硬件并发症,以及感觉异常、肌肉痉挛等刺激并发症,其中电极断裂、皮肤破溃感染是常见并发症且主要位于耳后。首都医科大学附属北京天坛医院于2012年将耳后磨骨槽技术应用于临床,显著降低耳后电极断裂和皮肤破溃感染的风险。本文重点介绍耳后磨骨槽技术及其临床应用注意事项,供同道参考借鉴。

Deep brain stimulation(DBS)has been widely used for Parkinson's disease,essential tremor,dystonia,drug-resistant epilepsy and other diseases.The operation procedure of this surgical method is complicated,and it also has certain complications in clinical application,including surgical complications such as intracranial hemorrhage and infection,hardware complications such as lead fracture and displacement,and stimulation complications such as paresthesia and muscle spasm,in which lead fracture and erosion and infection of the skin behind the ear are common and troublesome complications.In clinical practice,we found that lead fracture and erosion and infection of the skin were mainly located behind the ear.Since 2012,Beijing Tiantan Hospital,Capital Medical University had applied the retroauricular bone grinding groove technology in DBS,which significantly reduced the incidence of lead fracture and erosion and infection of the skin.Therefore,the retroauricular bone grinding groove technology can effectively solve the above problems.This paper mainly introduces the retroauricular bone grinding groove technology and the clinical application attention matters,providing references for colleagues.