The clinical application of the frontal puncture of lateral ventricle by extracranial marker in severe traumatic brain injury
Guo Tao
Yang Guorong
Ma Yuanshi
Yang Jun
Ma Jun
Abstract：Objective To explore the clinical application of performing a frontal puncture of the lateral ventricleguided by extracranial marker in patients with severe traumatic brain injury.Methods A total of 153 cases with severe traumatic brain injury were randomly assigned to either an observation group(extracranial landmark-guided frontal puncture of the lateral ventricle,n=81)or a control group(conventional frontal puncture of the lateral ventricle,n=72),and the puncture success rates between the two groups were compared.Results Among the 81 patients in the observation group,76 had successful punctures,yielding a success rate of 93.83%.In the control group,51 out of 72 patients achieved successful punctures,resulting in a success rate of 70.83%.The puncture success rate in the observation group was significantly higher than that in the control group,and this difference was statistically significant(χ2=14.287,P<0.001).Conclusion The use of extracranial landmarks during surgery provides surgeons with precise,objective,and easily observable reference points,thereby minimizing the impact of human subjectivity and enhancing the first-time puncture success rate.This technique is particularly promising for wider adoption in primary care hospitals where severe head injuries are frequently encountered.
Keywords：traumatic brain injurysevereextracranial markersfrontal puncture of lateral ventricle
Publication Date：2023-12-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 25-27 )