自发性脑出血微创血肿清除术的研究进展

Research progress in minimally invasive hematoma removal for spontaneous intracerebral hemorrhage

自发性脑出血(SICH)是一种高病死率和致残率的脑卒中疾病,微创血肿清除术可降低SICH患者的病死率并改善其功能预后。目前,有多种微创颅内血肿清除术可供选择,但各种技术的难易程度和疗效参差不齐。选择适宜或最佳的脑出血微创治疗方案对改善SICH患者的预后有重要意义。本文回顾了关于SICH微创血肿清除术的文献,分析主要几种手术的优缺点,为神经科医生选择最佳的脑出血微创治疗方案提供参考。目前尚无公认的最佳脑出血微创血肿清除术,但正在进行的多项大型微创血肿清除术临床试验有望为脑出血的最佳微创治疗策略提供重要信息。

Spontaneous intracerebral hemorrhage(SICH)is a stroke disease with a high mortality and disability rate.Minimally invasive hematoma removal can reduce mortality and improve functional prognosis in SICH patients.At present,there are various minimally invasive intracranial hematoma removals available for selection,but the difficulty and efficacy of various techniques vary.Choosing the appropriate or optimal minimally invasive treatment plan for intracerebral hemorrhage is of great significance in improving the prognosis of SICH patients.This article reviews the literature on minimally invasive hematoma removal for SICH,analyzes the advantages and disadvantages of several major surgeries,and provides reference for neurologists to choose the optimal minimally invasive treatment plan for intracerebral hemorrhage.At present,there is no recognized optimal minimally invasive hematoma removal for intracerebral hemorrhage,but multiple large-scale clinical trials of minimally invasive hematoma removal are expected to provide important information for the optimal minimally invasive treatment strategy for intracerebral hemorrhage.