[1]冷彪,熊坤,黄向群,等.脑池造瘘术治疗重型颅脑损伤的临床应用进展[J].临床神经外科杂志,2020,17(04):470-473.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.026]
 LENG Biao,XIONG Kun,HUANG Xiang-Qun,et al.Clinical application of cisternostomy in the treatment of severe traumatic craniocerebral injury[J].Journal of Clinical Neurosurgery,2020,17(04):470-473.[doi:DOI:10.3969/j.issn.1672-7770.2020.04.026]
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脑池造瘘术治疗重型颅脑损伤的临床应用进展()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
17
期数:
2020年04期
页码:
470-473
栏目:
综述
出版日期:
2020-08-14

文章信息/Info

Title:
Clinical application of cisternostomy in the treatment of severe traumatic craniocerebral injury
文章编号:
202004026
作者:
冷彪熊坤黄向群袁饶饶张焱王永红
330006 南昌,南昌大学第二附属医院神经外科(冷彪,熊坤,黄向群,袁饶饶,张焱);山西医学科学院,山西白求恩医院神经外科(王永红)
Author(s):
LENG Biao XIONG Kun HUANG Xiang-Qun et al.
Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang 330006, China
关键词:
脑池造瘘术重型颅脑损伤脑脊液移位性水肿去骨瓣减压术脑室外引流
Keywords:
cisternostomy severe traumatic brain injury cerebrospinal fluid shift edema decompressive craniectomy external ventricular drain
分类号:
R651
DOI:
DOI:10.3969/j.issn.1672-7770.2020.04.026
文献标志码:
A
摘要:
重型颅脑损伤(sTBI)是神经外科常见的急危重症之一 ,其病情复杂,治疗难度较大,目前以减轻脑水肿和控制颅内压(ICP)作为主要的治疗目标。去骨瓣减压(DC)术和脑室外引流(EVD)术是被广泛用于控制难治性颅内高压的传统手术技术,由于其手术疗效有限,且并发症发生率高、预后较差,学者们一直致力于研究新的手术方式治疗sTBI。脑池造瘘术是一种结合了颅底外科和微血管手术知识治疗sTBI的手术方式,近些年逐渐被临床所接受。本文就脑池造瘘术的生理基础、解剖基础、手术原理、手术疗效的最新研究进展作一综述。
Abstract:
Severe traumatic brain injury(sTBI) is a global healthy problem and one of the most common critical diseases in neurosurgery. It is complicated and very difficult to treat. Over the years, the main goal of management of patients with sTBI has been to relieve brain edema and control the intracranial pressure(ICP). Decompressive craniectomy(DC) and external ventricular drain(EVD) are the treatments that are widely used in refractory high ICP. However, scholars have been working on a new surgical method to treat patients with sTBI, due to the limited therapeutic effect and high incidence of complications. Cisternostomy combines skull base surgery and microvascular surgery in the treatment of sTBI. The clinical application of cisternostomy in the treatment of sTBI is reviewed,which introduces its physiological basis,anatomical foundation,surgical principle and curative effect.

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更新日期/Last Update: 2020-08-18