脑膜中动脉阻断+颞肌贴敷术治疗机化型慢性硬膜下血肿的疗效  

Clinical efficacy of middle meningeal artery occlusion combined with encephalomyosynangiosis for patients with organized chronic subdural hematoma

作　　者：李翔 闻海兵 李升 李国 张青 瞿洪义 LI Xiang;WEN Hai-bing;LI Guo;LI Sheng;ZHANG Qing;QU Hong-yi(Department of Neurosurgery,Affiliated Hospital of Kangda College of Nanjing Medical University/Xinghua People's Hospital Affiliated to Yangzhou University,Xinghua 225700,China)

机构地区：[1]南京医科大学康达学院学院附属医院/扬州大学附属兴化市人民医院神经外科,江苏兴化225700

出　　处：《中国临床神经外科杂志》2023年第8期490-492,496,共4页Chinese Journal of Clinical Neurosurgery

基　　金：南京医科大学康达学院科研发展基金(KD2022KYJJZD087)。

摘　　要：目的探讨脑膜中动脉阻断+颞肌贴敷术治疗机化型慢性硬膜下血肿(CSDH)的效果。方法回顾性分析2020年1月至2022年12月开颅手术治疗的26例机化型CSDH的临床资料,术中行脑膜中动脉阻断+颞肌贴敷。结果术后症状均改善。所有病人随访半年,未发现血肿复发。术后发生硬膜下积液2例(7.7%)、硬膜下积液合并脑脊液漏1例(3.8%)、颅内出血1例(3.8%),未出现张力性气颅及颅内感染。结论对机化型CSDH,开颅手术清除血肿后行脑膜中动脉阻断+颞肌贴敷,是一种安全的、有效的方法,血肿复发率低。Objective To investigate the efficacy of middle meningeal artery(MCA)occlusion combined with encephalo-myosynangiosis(EMS)for patients with organized chronic subdural hematoma(CSDH).Methods The clinical data of 26 patients with organized CSDH treated by craniotomy from January 2020 to December 2022 were retrospectively analyzed.MCA occlusion and EMS using the temporalis muscle were performed during the operation.Results The symptoms in all the patients were improved after the operation.All the patients were followed up for six months,and there was no recurrence of hematoma in all the patients.Subdural effusion occurred in 2 patients(7.7%),subdural effusion combined with cerebrospinal fluid leakage in 1 patient(3.8%),and secondary intracranial hemorrhage in 1 patient(3.8%).There was no tension pneumocranium or intracranial infection.Conclusions MCA occlusion combined with EMS using the temporalis muscle is a safe and effective method for patients with organized CSDH,which has low recurrence rate of hematoma.

关 键 词：机化型慢性硬膜下血肿 开颅手术 脑膜中动脉阻断 颞肌贴敷术 疗效 

分 类 号：R651.15[医药卫生—外科学] R651.11[医药卫生—临床医学]