神经内镜治疗慢性硬膜下血肿的研究进展

doi:10.3877/cma.j.issn.2095-9141.2023.01.011

慢性硬膜下血肿（CSDH）是好发于老年人的中枢神经系统疾病，传统的外科治疗方法为钻孔引流术，但部分患者血肿清除不彻底、术后复发率高，对于机化的血肿甚至需行骨瓣开颅手术。近年来研究发现，应用神经内镜的可视化特征能显著提高血肿清除率，降低术后并发症和复发率。本文就神经内镜治疗CSDH的最新研究进展作一综述。

关键词: 慢性硬膜下血肿, 神经内镜, 复发

Chronic subdural hematoma (CSDH) is a central nervous system disease that often occurs in the elderly. The traditional surgical treatment is burr hole drainage. However, the hematoma was not completely removed in some cases with high post-operative recurrence rates. For organized hematomas even craniotomy is required. In recent years, studies have found that the application of visualization features of neuroendoscopy can significantly improve the rate of hematoma clearance, and reduce the rate of postoperative complications and recurrence. This article reviews the recent progress of neuroendoscopic therapy for CSDH.

Key words: Chronic subdural hematoma, Neuro-endoscopy, Recurrence

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