介入栓塞治疗慢性硬膜下血肿的研究进展

Recent advance in interventional embolization for chronic subdural hematoma

慢性硬膜下血肿(cSDH)多由头部创伤后数周(≥3周)引起或由积液转化而来。其传统治疗方式以保守治疗和钻孔引流治疗为主,但保守治疗的有效率仅为3%~18%,而钻孔引流治疗的复发率也高达33%。最近基于病理学分析研究提出的脑膜中动脉(MMA)栓塞技术可以大大降低其术后复发率,且操作简单、疗效确切。笔者现对cSDH患者介入栓塞治疗的研究进展进行综述。

Chronic subdural hematoma(cSDH)occurs in acute subdural hemorrhage after head trauma or converts from effusion.Traditional treatment is based on conservative treatment and surgical drainage.The effective rate of conservative treatment is only 3%-18%;even with drilling drainage treatment,the recurrence rate is as high as 33%.Recently,the middle meningeal artery embolization technique based on pathological analysis can greatly reduce the recurrence rate,and the operation is simple and curative effect is exact.This article reviews the pathogenesis of cSDH and progress of interventional therapy.