脑膜中动脉栓塞术治疗慢性硬膜下血肿研究进展

Research progress of middle meningeal artery embolization for chronic subdural hematoma

慢性硬膜下血肿(CSDH)是神经外科常见的占位性疾病,多见于老年人群。手术治疗是目前症状性CSDH的一线治疗方法,但术后复发率较高。近年来,有研究发现,栓塞脑膜中动脉(MMA)能够阻断CSDH的血液供应,可作为一种新型的CSDH治疗方法,但目前尚缺乏相关的共识及指南,栓塞材料的选择也各不相同。作者就MMA栓塞术治疗CSDH的相关解剖基础、技术方法及注意事项、临床栓塞材料和栓塞疗效的研究进展进行了综述。

Chronic subdural hematoma(CSDH) is a common space-occupying disease in neurosurgery, and is more common in the elderly. Surgical treatment is currently the first-line treatment for symptomatic CSDH, but postoperative recurrence rate is high. In recent years, some studies have found that embolization of middle meningeal artery(MMA) can block the blood supply of CSDH, which is a new type of CSDH treatment. However, there is still a lack of relevant consensus and guidelines, and the selection of embolic materials is also different. The authors reviewed the research progress of MMA embolization in the treatment of CSDH, including anatomical basis, technical methods and precautions, clinical embolization materials and efficacy.