慢性硬膜下血肿手术方式的临床进展

Clinical progress of surgical methods for chronic subdural hematoma

慢性硬膜下血肿(CSDH)是神经外科常见疾病,尤其在老年患者中发病率更高,目前其治疗方法包括药物保守、手术干预或者联合治疗。尽管有诸多病例经过药物治疗取得良好效果,但就现状而言,手术干预仍是不可替代的治疗方案,特别是针对于血肿量大,甚至脑疝以及复发的患者。而关于CSDH的手术方式较多,临床选择存在争议,且近年来在微创手术方面有所进展。本文就CSDH的手术方式综述如下,以供临床评估及选择。

Chronic subdural hematoma(CSDH)is a common neurosurgical disease,especially in elderly patients,and its treatment currently includes medication conservation,surgical intervention and combination therapy.Although many cases have achieved good results through drug treatment,as far as the present situation is concerned,surgical intervention is still an irreplaceable treatment,especially for patients with large amounts of hematoma,even those with cerebral hernia or recurrence.However,there are many surgical methods about CSDH,the clinical selection is controversial,what is more,there has been some progress in minimally invasive surgery in recent years.In this paper,the surgical methods of CSDH are summarized as follows.The purpose is to provide for clinical evaluation and selection.