血管内介入栓塞治疗硬膜外血肿的研究进展  

Advances in the treatment of epidural hematoma with endovascular embolization

作　　者：王恒禄 王超[1] 李勐[1] 李泽福[1] Wang Henglu;Wang Chao;Li Meng;Li Zefu(Department of Neurosurgery,Binzhou Medical University Affiliated Hospital,Binzhou,Shandong 256603,China)

机构地区：[1]山东省滨州医学院附属医院神经外科,256603

出　　处：《中国脑血管病杂志》2020年第4期217-221,共5页Chinese Journal of Cerebrovascular Diseases

基　　金：山东省自然科学基金(ZR2018LH007、ZR2017LH033);滨州医学院科研计划与科研启动基金(KY2016KYQD15)。

摘　　要：硬膜外血肿(EDH)是位于硬脑膜与颅骨内板之间的血肿,好发于幕上半球凸面,约占外伤性颅内血肿的30%,其中以急性、亚急性常见.传统治疗包括保守治疗和手术治疗.最近脑膜中动脉栓塞技术的应用弥补了传统治疗的不足,其可以对EDH扩大前("预防性治疗")、已经形成巨大血肿后("干预性治疗")以及EDH手术后复发("补救性治疗")的患者均具有良好的疗效.作者对EDH的发病机制及介入治疗的研究进展进行综述,以使更多医师和患者了解血管内栓塞治疗EDH技术.Epidural hematoma(EDH)is a hematoma located between the dura and the intracranial plate,which is most frequently found in the convex surface of the upper tentorial hemisphere accounting for approximately 30%of traumatic intracranial hematoma,and common in acute or subacute form.Traditional treatment includes conservative treatment and surgical treatment.The recent application of meningeal artery embolization technology has made up for the lack of traditional treatment,which could be used before the expansion of epidural hematoma(preventive treatment),after the formation of a large hematoma(interventional treatment),and after the postoperative recurrence of epidural hematoma(remedial treatment).The author reviews the pathogenesis of epidural hematoma and the progress of interventional therapy to enable more doctors and patients understanding the technique of endovascular embolization for epidural hematoma.

关 键 词：急性硬膜外血肿 脑膜中动脉 介入栓塞 综述 

分 类 号：R651.1[医药卫生—外科学]