脑膜中动脉栓塞术联合微创穿刺引流术治疗慢性硬膜下血肿的效果  

Effect of Middle Meningeal Artery Embolization Combined with Minimally Invasive Puncture Drainage in the Treatment of Chronic Subdural Hematoma

作　　者：吴彦涛 曹龙庆 WU Yantao;CAO Longqing(Gaoling District Hospital in Xi’an,Xi’an 710200,China;不详)

机构地区：[1]西安市高陵区医院,陕西西安710200

出　　处：《中外医学研究》2024年第35期1-5,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察脑膜中动脉栓塞术联合微创穿刺引流术治疗慢性硬膜下血肿的临床效果。方法:选取2020年8月—2023年8月西安市高陵区医院神经外科收治的70例慢性硬膜下血肿患者作为研究对象,按照随机数表法将患者分为研究组与对照组,各35例。对照组采用微创穿刺引流术治疗,研究组在对照组基础上采用脑膜中动脉栓塞术治疗,比较两组临床症状改善情况、预后、术后并发症及脑血管功能。结果:研究组血肿清除率、预后良好率高于对照组,血肿复发率、术后并发症发生率低于对照组,差异有统计学意义(P<0.05);两组术后10 d格拉斯哥昏迷量表(Glasgow coma scale,GCS)评分较术后5 d升高,术后3个月改良Rankin量表(modified Rankin scale,MRS)评分较术前降低,且研究组术后10 d格拉斯哥预后量表(Glasgow outcome scale,GOS)评分高于对照组,术后3个月MRS评分低于对照组,差异有统计学意义(P<0.05);术后7 d,两组血管生成素-1(angiopoietin-1,Ang-1)、血管升压素(arginine vasopressin,AVP)水平较术前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。结论:脑膜中动脉栓塞术联合微创穿刺引流术治疗慢性硬膜下血肿不仅能提高血肿清除率,还可以改善患者意识状态,保护和提升神经功能,减少术后并发症发生,促进预后恢复。Objective:To observe the clinical effect of middle meningeal artery embolization combined with minimally invasive puncture drainage in the treatment of chronic subdural hematoma.Method:A total of 70 patients with chronic subdural hematoma who admitted to the Department of Neurosurgery,Gaoling District Hospital in Xi’an from August 2020 to August 2023 were selected as the research objects,the patients were divided into the study group and the control group according to the random number table method,with 35 cases in each group.The control group was treated with minimally invasive puncture drainage,and the study group was treated with middle meningeal artery embolization on the basis of the control group.The improvement of clinical symptoms,prognosis,postoperative complications and cerebrovascular function were compared between two groups.Result:The hematoma clearance rate and good prognosis rate of the study group were higher than those of the control group,the hematoma recurrence rate and the incidence of postoperative complications were lower than those of the control group,and the differences were statistically significant(P<0.05);the Glasgow coma scale(GCS)scores of two groups at 10 d after operation were higher than those at 5 d after operation,and the modified Rankin scale(MRS)scores at 3 months after operation were lower than those before operation,the Glasgow outcome scale(GOS)score of the study group at 10 d after operation was higher than that of the control group,and the MRS score at 3 months after operation was lower than that of the control group,the differences were statistically significant(P<0.05);at 7 d after operation,the levels of angiopoietin-1(Ang-1)and arginine vasopressin(AVP)in two groups were lower than those before operation,and those in the study group were lower than the control group,the differences were statistically significant(P<0.05).Conclusion:Middle meningeal artery embolization combined with minimally invasive puncture drainage in the treatment of chronic subdural hematoma can

关 键 词：脑膜中动脉栓塞术 微创穿刺引流术 慢性硬膜下血肿 神经功能 并发症 

分 类 号：R65[医药卫生—外科学]