摘要
自发性脑出血(spontaneous intracerebral hemorrhage,SICH)发病率、病死率、致残率高,目前对其外科、内科治疗仍存在争议。随着显微神经外科技术的发展,微创手术治疗SICH有了较大进展,其通过微侵袭的手术方式在SICH后早期清除脑内血肿,可最大限度地减少或消除继发性脑损伤,对降低SICH病死率、致残率具有重要意义。多年来,由于微创手术的不断进展,其越来越广泛应用于SICH治疗中。该文主要评述了SICH微创治疗技术的进展和国内外相关临床研究,简要阐述了几种与微创治疗有关的创新技术,并结合临床体会提出了一些个人观点与展望,旨在促进SICH微创治疗临床经验的交流。
The incidence,mortality,and disability rate of spontaneous intracerebral hemorrhage(SICH)are high,and its surgical and medical treatment is still controversial.With the development of micro-neurosurgical technology,minimally invasive surgery(MIS)has made great progress in the treatment of SICH.It can remove intracerebral hematoma in the early stage after SICH and minimize or eliminate secondary brain injury,which is of great significance to reducing the mortality and disability rate.For many years,due to its continuous progress,MIS has been more and more widely used in the treatment of SICH.This article mainly reviews the progress of MIS in SICH and related clinical research at home and abroad,and briefly describes several innovative techniques related to MIS,which aims to promote the exchange of clinical experience in MIS of SICH.
作者
杨婧菲
井洁
潘超
唐洲平
YANG Jingfei;JING Jie;PAN Chao;TANG Zhouping(Department of Neurology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,P.R.China)
出处
《华西医学》
CAS
2021年第6期714-720,共7页
West China Medical Journal
基金
国家自然科学基金(8207052818,81873750,81901219)
武汉市科学技术局应用基础前沿专项(2018060401011316)。
关键词
脑出血
血肿清除
微创手术
立体定向
内镜手术
Intracerebral hemorrhage
Hematoma clearance
Minimally invasive surgery
Stereotactic
Endoscope-assisted technique
