中线入路手术中上矢状窦引流静脉保护的研究进展

Research Progress on Venous Protection of Superior Sagittal Sinus Drainage in Midline Approach Surgery

摘要: 中线区幕上肿瘤的切除常常选择不同的中线手术入路，这些入路术中不可避免地会关联到上矢状窦及桥静脉，如术中上矢状窦旁的桥静脉受到损伤，常会引起侧支循环回流瘀滞，最终可能导致大静脉充血，严重的脑水肿，引起包括运动、感觉和语言的障碍。为避免损伤上矢状窦及桥静脉出现了许多相关的技术研究，现对相关研究进展作一综述。

Abstract: The resection of tumors in the midline area often involves the selection of different midline surgical approaches. These approaches inevitably involve the superior sagittal sinus and bridging veins. If the bridging veins adjacent to the superior sagittal sinus are damaged during surgery, it can often lead to stagnation in collateral circulation, which may ultimately result in congestion of the major veins, severe cerebral edema, and impairments including motor, sensory, and language functions. To avoid injury to the superior sagittal sinus and bridging veins, many related technical studies have been conducted. A summary of the research progress is provided here.