Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods-A Review.
Intracranial Pressure Monitoring: Invasive versus Non-Invasive Methods-A Review.
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DOI：
10.1155/2012/950393
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发表时间：
2012
影响因子：
1.7
通讯作者：
Romner B
中科院分区：
文献类型：
--
作者：
Raboel PH;Bartek J Jr;Andresen M;Bellander BM;Romner B
颅内压 (ICP) 监测已在神经外科和神经病学领域使用了数十年。有多种技术：侵入性和非侵入性。本文旨在概述最常见和众所周知的方法的优点和缺点，并评估非侵入性技术（经颅多普勒、鼓膜位移、视神经鞘直径、CT 扫描/MRI 和眼底镜检查）是否可以作为侵入性技术（脑室造口术和微换能器）的可靠替代方案。脑室造口术被认为是精确测量压力的黄金标准，尽管微传感器通常也同样准确。这两种侵入性技术都存在较小的并发症风险，例如出血和感染。此外，零漂移是所选微传感器的一个问题。非侵入性技术没有侵入性方法的并发症风险，但无法足够准确地测量 ICP，无法用作侵入性测量的常规替代方法。我们的结论是，有创测量是目前准确测量ICP的唯一选择。
Monitoring of intracranial pressure (ICP) has been used for decades in the fields of neurosurgery and neurology. There are multiple techniques: invasive as well as noninvasive. This paper aims to provide an overview of the advantages and disadvantages of the most common and well-known methods as well as assess whether noninvasive techniques (transcranial Doppler, tympanic membrane displacement, optic nerve sheath diameter, CT scan/MRI and fundoscopy) can be used as reliable alternatives to the invasive techniques (ventriculostomy and microtransducers). Ventriculostomy is considered the gold standard in terms of accurate measurement of pressure, although microtransducers generally are just as accurate. Both invasive techniques are associated with a minor risk of complications such as hemorrhage and infection. Furthermore, zero drift is a problem with selected microtransducers. The non-invasive techniques are without the invasive methods' risk of complication, but fail to measure ICP accurately enough to be used as routine alternatives to invasive measurement. We conclude that invasive measurement is currently the only option for accurate measurement of ICP.