| 摘要: |
| ［摘要］ 目的 观察微创穿刺联合脑膜中动脉栓塞(MMAE)治疗慢性硬膜下血肿(CSDH)的效果。方法 选择2019年6月至2021年6月扬州大学附属医院收治的52例单侧CSDH患者的临床资料，根据手术方式不同分为观察组（24例，采用微创穿刺联合MMAE治疗）和对照组（28例，采用微创穿刺治疗）。比较两组术后3个月残余血肿吸收情况、再手术率以及Markwalder′s神经功能分级等。结果 观察组术后3个月血肿残留发生率低于对照组，Markwalder′s神经功能分级改善优于对照组，差异有统计学意义（P<0.05）。观察组无再手术病例。对照组有4例出现血肿复发，临床症状加重，需再次行微创穿刺手术治疗，术后效果良好。两组再手术率比较差异无统计学意义（P>0.05）。结论 微创穿刺联合MMAE治疗CSDH患者可有效促进残余血肿吸收，降低再手术风险，有助于改善患者神经功能，值得临床推荐。 |
| 关键词: 慢性硬膜下血肿 微创穿刺 脑膜中动脉栓塞 预后 |
| DOI：10.3969/j.issn.1674-3806.2023.03.15 |
| 分类号:R 741.05 |
| 基金项目: |
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| An observation on the effect of minimally invasive puncture combined with middle meningeal artery embolization on treatment of chronic subdural hematoma |
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CAO De-mao, DUAN Xiao-chun, LIU Zhen-sheng, et al.
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Department of Neurosurgery, Affiliated Hospital of Yangzhou University, Jiangsu 225000, China
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| Abstract: |
| ［Abstract］ Objective To observe the effect of minimally invasive puncture combined with middle meningeal artery embolization(MMAE) on treatment of chronic subdural hematoma(CSDH). Methods The clinical data of 52 patients with unilateral CSDH who were admitted to Affiliated Hospital of Yangzhou University from June 2019 to June 2021 were selected and the patients were divided into the observation group(receiving minimally invasive puncture combined with MMAE treatment, 24 cases) and the control group(receiving minimally invasive puncture treatment, 28 cases) according to different surgical methods. The absorption of residual hematoma, reoperation rate and Markwalder′s neurological function grade were compared between the two groups 3 months after surgery. Results The incidence of residual hematoma 3 months after surgery in the observation group was lower than that in the control group, and the improvement of Markwalder′s neurological function grade in the observation group was better than that in the control group, with statistically significant differences between the two gropus(P<0.05). There were no reoperation cases in the observation group, and 4 cases in the control group had hematoma recurrence and aggravated clinical symptoms, requiring minimally invasive puncture surgery again, and the postoperative effect was good. There was no statistically significant difference in the rate of reoperation between the two groups(P>0.05). Conclusion Minimally invasive puncture combined with MMAE can effectively promote the absorption of residual hematoma in the treatment for CSDH patients, reduce the risk of reoperation, and help to improve the neurological function of the patients, which is worthy of clinical recommendation. |
| Key words: Chronic subdural hematoma(CSDH) Minimally invasive puncture Middle meningeal artery embolization(MMAE) Prognosis |
