Application of intraoperative ultrasound in ventricle puncture of traumatic brain injury

Objective To explore the application value of ultrasound for guiding ventricle puncture drainage of traumatic brain injury patients.Methods Sixty-eight patients with traumatic brain injury were enrolled and equally divided into two groups.Patients in study group underwent ultrasound-guided puncture ventricle drainage,while in control group underwent conventional blind-puncture ventricle drainage.The operation time and results were recorded and compared between two groups.Results The success rate of first time puncture and the operation time of study group was 100%(34/34) and 5—12 min(mean [6.35±1.51]min),of control group was 70.59%(24/34) and 5—17 min(mean [11.21±3.10]min),respectively(both P0.05).No postoperative complication occurred in study group,while postoperative complications occurred in 8 patients of control group,including puncture tract bleeding(n=4),puncture into the offside ventricle(n=2),fistula formation caused by multi-puncture and choroid plexus injury(each n=1,P0.05).Conclusion Ultrasound-guided puncture ventricle drainage is superior to conventional bind-puncture in puncture achievement ratio,operation time and postoperative complications,and can be widely used in clinical practice.