神经内镜技术治疗慢性硬膜下血肿的临床进展
Clinical Progress in Neuroendoscopic Techniques in the Treatment of Chronic Subdural Hematoma
DOI: 10.12677/acm.2025.1582326, PDF,   
作者: 郭城余*：延安大学延安医学院，陕西 延安；延安大学附属医院神经外科，陕西 延安；郭 杰#：延安大学附属医院神经外科，陕西 延安
关键词: 慢性硬膜下血肿；神经内镜；脑膜中动脉栓塞；分隔型血肿；复发率；Chronic Subdural Hematoma； Neuroendoscopy； Middle Meningeal Artery Embolization； Partitioned Hematoma； Recurrence Rate
摘要: 在全球人口老龄化背景下，慢性硬膜下血肿(CSDH)已成为神经外科常见的高发病率疾病，其临床诊疗策略亟待优化。手术干预被确立为首选治疗方法，但传统钻孔引流术存在高复发率的局限性。神经内镜技术凭借直视化与微创操作的核心优势，显著提升了其治疗CSDH的临床疗效。本综述系统梳理了从传统术式到神经内镜技术再到多模态联合治疗的演进过程，旨在为临床医生提供全面、前沿的诊疗知识更新，以促进临床决策的科学化。未来研究需进一步探索神经内镜技术治疗双侧CSDH的临床疗效，建立基于多模态治疗的标准化临床路径，从而推动神经内镜技术治疗CSDH从经验性治疗向精准化、个体化诊疗模式的转型。
Abstract: Against the backdrop of global population aging, Chronic Subdural Hematoma (CSDH) has become a prevalent high-incidence disorder in neurosurgical practice, necessitating optimized clinical management strategies. Surgical intervention is established as the primary treatment modality; however, conventional burr hole drainage remains limited by high recurrence rates. Leveraging its core advantages of direct visualization and minimally invasive manipulation, neuroendoscopic techniques have significantly enhanced therapeutic efficacy for CSDH. This review systematically delineates the evolutionary trajectory from traditional procedures to neuroendoscopic approaches and onward to multimodal combined therapies, providing clinicians with comprehensive, cutting-edge knowledge updates to facilitate scientific decision-making in clinical practice. Future research should focus on exploring clinical outcomes of neuroendoscopic intervention for bilateral CSDH while establishing standardized clinical pathways rooted in multimodal management, ultimately advancing the transformation of neuroendoscopic techniques in the treatment for CSDH from empirical treatment toward precision-based, individualized therapeutic paradigms.
文章引用：郭城余, 郭杰. 神经内镜技术治疗慢性硬膜下血肿的临床进展[J]. 临床医学进展, 2025, 15(8): 1000-1008. https://doi.org/10.12677/acm.2025.1582326

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