脑膜中动脉栓塞治疗慢性硬膜下血肿的疗效  

Efficacy of embolization of the middle meningeal artery for patients with chronic subdural hematomas

作　　者：黄伟 潘起航 马钊 李俊[1] 陈文[1] HUANG Wei;PAN Qi-hang;MA Zhao;LI Jun;CHEN Wen(Department of Neurosurgery,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院神经外科,武汉430014

出　　处：《中国临床神经外科杂志》2024年第8期462-464,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨脑膜中动脉栓塞(MMAE)治疗慢性硬膜下血肿(CSDH)的临床疗效。方法回顾性分析2020年1月至2022年1月行MMAE治疗的12例CSDH的临床资料。结果3例为双侧血肿,9例为单侧。12例病人共进行15侧MMAE,其中9侧行单纯栓塞治疗,6侧行钻孔引流术后辅助栓塞治疗;栓塞剂为微球颗粒9侧,Onyx胶5侧,弹簧圈结合颗粒1侧。术后1例出现单眼永久性失明,2例出现下颌神经区域疼痛。术后3~6个月随访,所有病人血肿体积明显减少或吸收,未见血肿复发。结论MMAE是防治CSDH进展和复发的有效方法,但早期开展需仔细辨认脑膜血管变异与吻合,防止严重并发症。Objective To explore the clinical efficacy of middle meningeal artery embolization(MMAE)in the treatment of chronic subdural hematomas(CSDH).Methods The clinical data of 12 patients with CSDH treated with MMAE from January 2020 to January 2022 were retrospectively analyzed.Results Three cases had bilateral hematomas,and nine cases had unilateral ones.A total of 15 MMAEs were performed in 12 patients,among which 9 were treated with embolization alone and 6 were treated with adjunctive embolization after burr hole drainage.The embolic agents included microsphere particles in 9 cases,Onyx glue in 5 cases,and coils combined with particles in 1 case.After the operation,one case had permanent monocular blindness,and two cases had pain in the mandibular nerve region.During the 3~6 months of follow-up after the operation,the hematoma volume of all patients was significantly reduced or absorbed,and no recurrence of hematoma was observed.Conclusion MMAE is an effective method for preventing the progression and recurrence of CSDH.However,in the early stage of implementation,careful identification of meningeal vascular variations and anastomoses is necessary to prevent serious complications.

关 键 词：慢性硬膜下血肿 脑膜中动脉栓塞 疗效 

分 类 号：R651.15[医药卫生—外科学] R815.2[医药卫生—临床医学]