筷子经口插入颅内穿通伤的手术治疗

doi:10.3877/cma.j.issn.2095-123X.2026.01.010

中华脑科疾病与康复杂志(电子版) ›› 2026, Vol. 16 ›› Issue (01) : 61 -64. doi: 10.3877/cma.j.issn.2095-123X.2026.01.010

教学视频

筷子经口插入颅内穿通伤的手术治疗

刘成业, 唐必英, 李钢^†(

)

572000　三亚，三亚中心医院（海南省第三人民医院）神经外科

收稿日期:2025-12-03 出版日期:2026-02-15
通信作者: 李钢

Surgical management of transcranial penetrating injury via transoral insertion of a chopstick

Chengye Liu, Biying Tang, Gang Li^†()

Received:2025-12-03 Published:2026-02-15
Corresponding author: Gang Li

全文 ( ) 下载PDF ( ) 导出引用

关键词: 颅内异物, 穿通伤, 筷子

图1 筷子经口插入颅内穿通伤患儿术前术后的影像学资料A：术前头颅MR示异物（箭头所示）；B：术前头颅MR示静脉窦血栓（箭头所示）；C：术前头颅CT平扫示异物（箭头所示）；D：术前头颅CT三维重建示右侧颈静脉孔孔区异物及右侧横窦血栓；E：术前头颅CT三维重建示异物紧邻右侧颈内动脉因局部水肿及血管痉挛使右侧颈内动脉较对侧纤细；F：术后头颅CT检查示异物完整取出

Fig.1 preoperative and postoperative imaging data of a child with transcranial penetrating injury via transoral insertion of a chopstick

[1]	王建强,王长生.罕见的鼻腔外伤性竹筷子异物(附2例报告)[J].山西医科大学学报, 2011, 42(12): 1013. DOI: 10.3969/J.ISSN.1007-6611.2011.12.024.
[2]	刘冬梅,朱英芝,于凯丽,等.眶内眼球外异物致视神经损伤2例[J].法医学杂志, 2025, 41(3): 286-288. DOI: 10.12116/j.issn.1004-5619.2024.240902.
[3]	李洋,魏智彬,丁雨菡,等.木筷眶-颅穿通伤致眶尖综合征法医学鉴定1例[J].法医学杂志, 2019, 35(4): 500-502. DOI: 10.12116/j.issn.1004-5619.2019.04.031.
[4]	Mzimbiri JM, Li J, Bajawi MA, et al. Orbitocranial low-velocity penetrating injury: A personal experience, case series, review of the literature, and proposed management plan[J]. World Neurosurg, 2016, 87: 26-34. DOI: 10.1016/j.wneu.2015.12.063.
[5]	钟良,卢燕,余静,等.小儿口底颅脑贯通伤继发性困难气道麻醉管理1例[J].国际麻醉学与复苏杂志, 2018, 39(7): 663-664. DOI: 10.3760/cma.j.issn.1673-4378.2018.07.011.
[6]	Zheng L, Xu H, Chen X, et al. A case of death of purulent meningitis caused by transorbital intracranial penetrating injury due to long-term residual bamboo chopstick[J]. Leg Med (Tokyo), 2022, 55: 102012. DOI: 10.1016/j.legalmed.2021.102012.
[7]	吕正超,吴海莺,徐显鑫,等.异物经颈静脉孔致非火器性颅脑穿通伤1例报告并文献复习[J].临床神经外科杂志, 2021, 18(1): 100-102. DOI: 10.3969/j.issn.1672-7770.2021.01.022.
[8]	Dong HV, Nguyen AQ, Dong HHT, et al. Penetrating brain injury through the cavernous sinus by chopsticks in vienamese: a case report[J]. Ann Med Surg (Lond), 2024, 86(9): 5561-5566. DOI: 10.1097/ms9.0000000000002389.

[1]	钟魁艳, 邓黎, 姚远洋, 凌开建, 邓媛, 李秋蓉, 王延洲. "筷子技术"于经脐单孔腹腔镜全子宫切除手术的可行性和学习曲线[J/OL]. 中华腔镜外科杂志(电子版), 2024, 17(01): 45-50.
[2]	钟魁艳, 邓黎, 李宇迪, 姚远洋, 唐帅, 胡群英, 凌开建, 王延洲. "筷子技术"用于经脐单孔腹腔镜全子宫切除术的可行性和安全性研究[J/OL]. 中华腔镜外科杂志(电子版), 2022, 15(03): 174-180.
[3]	潘冬生, 宋振全, 李晋江, 雷伟, 李靖远, 冯思哲. 应用复合手术室治疗颅脑穿通伤手术经验总结[J/OL]. 中华神经创伤外科电子杂志, 2021, 07(06): 368-371.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Surgical management of transcranial penetrating injury via transoral insertion of a chopstick

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Surgical management of transcranial penetrating injury via transoral insertion of a chopstick