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高血压脑出血手术治疗方式进展
Progress in Surgical Treatment of Hypertensive Intracerebral Hemorrhage

DOI: 10.12677/jcpm.2025.42168, PP. 225-230

Keywords: 高血压脑出血,手术治疗,手术方式,治疗进展
Hypertensive Intracerebral Hemorrhage
, Surgical Treatment, Surgical Methods, Treatment Progress

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Abstract:

高血压脑出血(HICH)以其高发病率、高致残率和高死亡率,严重影响威胁着患者的生命和生活质量。近年来,随着医疗技术的飞速进步,HICH的手术治疗取得了显著进展,尤其是手术方式的选择和手术指征的把控上。现有证据表明,相较于传统的保守治疗,早期手术干预能够降低HICH患者的死亡率,并有利于神经功能的恢复和改善预后。该研究的意义在于总结了目前HICH手术治疗的最新进展,为临床医生选择合适的术式提供了参考,有助于提高HICH患者的治疗效果和预后。
Hypertensive intracerebral hemorrhage (HICH), with its high incidence, high disability rate and high mortality rate, seriously affects the life and quality of life of patients. In recent years, with the rapid development of medical technology, remarkable progress has been made in the surgical treatment of HICH, especially in the selection of surgical methods and the control of surgical indications. Existing evidence suggests that, compared with traditional conservative treatment, early surgical intervention can reduce the mortality of patients with HICH, and is beneficial to the recovery of neurological function and improve prognosis. The significance of this study is to summarize the latest progress in the surgical treatment of HICH, provide a reference for clinicians to choose appropriate surgical methods, and help improve the treatment effect and prognosis of HICH patients.

References

[1]  GBD 2021 Stroke Risk Factor Collaborators (2024) Global, Regional, and National Burden of Stroke and Its Risk Factors, 1990-2021: A Systematic Analysis for the Global Burden of Disease Study 2021. The Lancet Neurology, 23, 973-1003.
[2]  黄煌, 文涛, 陈兵, 等. 高血压脑出血预后相关危险因素的Meta分析[J]. 广东医科大学学报, 2023, 41(1): 44-53.
[3]  崔旭波, 李延喜. 超早期与早期微创手术治疗基底节区高血压性脑出血临床疗效对比分析[J]. 贵州医药, 2023, 47(6): 862-863.
[4]  陈文海. 超早期小骨窗微创手术治疗高血压脑出血的临床疗效及对神经功能的影响[J]. 吉林医学, 2022, 43(1): 109-110.
[5]  刘铁奇, 朱虹. 超早期微创手术与早期手术治疗中等量基底节区HICH的临床效果[J]. 河北医药, 2023, 45(14): 2186-2188.
[6]  游潮, 刘鸣, 于学忠, 等. 高血压性脑出血中国多学科诊治指南[J]. 中国急救医学, 2020, 40(8): 689-702.
[7]  骆明涛, 伍聪, 陶传元, 等. 《高血压性脑出血中国多学科诊治指南》急救诊治解读[J]. 中国急救医学, 2021, 41(3): 185-190.
[8]  车炜, 王丽琨, 任思颖, 等. 头颅CT血管成像点征对立体定向微创术治疗自发性脑出血术后再出血的预测价值[J]. 神经损伤与功能重建, 2023, 18(12): 749-752, 792.
[9]  Mendelow, A., Gregson, B., Fernandes, H., Murray, G., Teasdale, G., Hope, D., et al. (2005) Early Surgery versus Initial Conservative Treatment in Patients with Spontaneous Supratentorial Intracerebral Haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): A Randomised Trial. The Lancet, 365, 387-397.
https://doi.org/10.1016/s0140-6736(05)70233-6
[10]  Mendelow, A.D., Gregson, B.A., Rowan, E.N., Murray, G.D., Gholkar, A. and Mitchell, P.M. (2013) Early Surgery versus Initial Conservative Treatment in Patients with Spontaneous Supratentorial Lobar Intracerebral Haematomas (STICH II): A Randomised Trial. The Lancet, 382, 397-408.
https://doi.org/10.1016/s0140-6736(13)60986-1
[11]  Greenberg, S.M., Ziai, W.C., Cordonnier, C., Dowlatshahi, D., Francis, B., Goldstein, J.N., et al. (2022) 2022 Guideline for the Management of Patients with Spontaneous Intracerebral Hemorrhage: A Guideline from the American Heart Association/American Stroke Association. Stroke, 53, e282-e361.
https://doi.org/10.1161/str.0000000000000407
[12]  赵继宗, 周良辅, 王任直, 王德江, 王硕, 袁葛, 康帅, 赵元立, 季楠, 叶迅. 2464例高血压脑出血外科治疗多中心单盲研究[J]. 中华医学杂志, 2005, 85(32): 2238-2242.
[13]  李乾锋, 段发亮, 闵强, 等. 高血压性脑叶出血微创外科治疗的随机对照试验研究[J]. 天津医药, 2022, 50(10): 1072-1077.
[14]  罗胜, 王丽琨, 任思颖, 等. 行立体定向颅内血肿穿刺引流术后再出血与术中血肿清除率的关系[J]. 贵州医科大学学报, 2023, 48(12): 1501-1506.
[15]  Hanley, D.F., Thompson, R.E., Rosenblum, M., Yenokyan, G., Lane, K., McBee, N., et al. (2019) Efficacy and Safety of Minimally Invasive Surgery with Thrombolysis in Intracerebral Haemorrhage Evacuation (MISTIE III): A Randomised, Controlled, Open-Label, Blinded Endpoint Phase 3 Trial. The Lancet, 393, 1021-1032.
https://doi.org/10.1016/s0140-6736(19)30195-3
[16]  王浩宇, 崔建忠, 魏建强, 等. 中等量高血压基底节脑出血手术适应证的探讨[J]. 中国微创外科杂志, 2023, 23(2): 87-92.
[17]  吴恒浩, 申娟茹, 王景波, 等. CT引导钻孔穿刺抽吸引流术治疗老年小脑出血患者的临床研究[J]. 中华老年心脑血管病杂志, 2024, 26(6): 661-664.
[18]  Hanley, D.F., Lane, K., McBee, N., Ziai, W., Tuhrim, S., Lees, K.R., et al. (2017) Thrombolytic Removal of Intraventricular Haemorrhage in Treatment of Severe Stroke: Results of the Randomised, Multicentre, Multiregion, Placebo-Controlled CLEAR III Trial. The Lancet, 389, 603-611.
https://doi.org/10.1016/s0140-6736(16)32410-2
[19]  Chung, D.Y., Olson, D.M., John, S., Mohamed, W., Kumar, M.A., Thompson, B.B., et al. (2019) Evidence-Based Management of External Ventricular Drains. Current Neurology and Neuroscience Reports, 19, Article No. 94.
https://doi.org/10.1007/s11910-019-1009-9
[20]  宋志富, 黄学平, 甘玉兰, 等. 侧脑室穿刺置管于三脑室联合尿激酶治疗脑室出血的临床疗效观察[J]. 实用医院临床杂志, 2022, 19(3): 27-30.
[21]  潘金龙, 童民峰, 徐玮, 等. 双侧侧脑室外引流联合腰大池引流术在脑室出血中的疗效观察[J]. 浙江创伤外科, 2023, 28(2): 331-333.
[22]  谢琛璠, 曾钦霖, 林庆喜. 侧脑室外引流联合早期腰大池引流治疗脑室出血临床效果[J]. 吉林医学, 2023, 44(10): 2829-2831.
[23]  Noiphithak, R., Yindeedej, V., Ratanavinitkul, W., Duangprasert, G., Nimmannitya, P. and Yodwisithsak, P. (2023) Treatment Outcomes between Endoscopic Surgery and Conventional Craniotomy for Spontaneous Supratentorial Intracerebral Hemorrhage: A Randomized Controlled Trial. Neurosurgical Review, 46, Article No. 136.
https://doi.org/10.1007/s10143-023-02035-y
[24]  Tahara, S., Hattori, Y., Aso, S., Uda, K., Kumazawa, R., Matsui, H., et al. (2022) Outcomes after Endoscopic Evacuation versus Evacuation Using Craniotomy or Stereotactic Aspiration for Spontaneous Intracerebral Hemorrhage: Analysis Using a Japanese Nationwide Database. Neurocritical Care, 38, 667-675.
https://doi.org/10.1007/s12028-022-01634-9
[25]  Pradilla, G., Ratcliff, J.J., Hall, A.J., Saville, B.R., Allen, J.W., Paulon, G., et al. (2024) Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage. New England Journal of Medicine, 390, 1277-1289.
https://doi.org/10.1056/nejmoa2308440
[26]  Yang, L., Yang, M., He, M., Zhou, X. and Zhou, Z. (2024) Endoscopic Surgery versus Stereotactic Aspiration in Spontaneous Intracerebral Hemorrhage Treatment: A Systematic Review and Meta-analysis. World Neurosurgery, 184, 202-212.
https://doi.org/10.1016/j.wneu.2024.01.162
[27]  Wu, Z., Chen, D., Pan, C., Zhang, G., Chen, S., Shi, J., et al. (2023) Surgical Robotics for Intracerebral Hemorrhage Treatment: State of the Art and Future Directions. Annals of Biomedical Engineering, 51, 1933-1941.
https://doi.org/10.1007/s10439-023-03295-x

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