基于术前磁共振综合评估选择不同术式治疗慢性硬膜下血肿

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【中图分类号】 R651 【文献标志码】 A 【文章编号】 1672-7770（2025）04-0418-05

Treatment of chronic subdural hematoma by different surgical procedures basedon comprehensive preoperative magnetic resonance evaluation WANG Jiachen， JIANG Jianfeng ， LI Wen，HUANG Xin， PAN Weiyuan， REN Xinyu， GAO Heng. Department of Neurosurgery， Affiliated Jiangyin Clinical College of Xuzhou Medical University， Jiangyin 2144OO，China Corresponding author: GAO Heng

Abstract : ObjectiveTo explore the efficacy of different surgical procedures for the treatment of chronic subdural hematoma（CSDH） based on comprehensive preoperative magnetic resonance evaluation. MethodsAll235 patients with CSDH who underwent surgery at the Jiangyin Clinical Collge of Xuzhou Medical University between June 2O2O and June 2O24 were analyzed.All patients underwent routine MRI and MRA examinations prior to surgery to assess hematoma cavity separation，neovascularization，and middle meningeal artery（MMA）dilatation.Diferent surgical approaches were adopted based on the results of the imaging assessment. Patients were followed up for 6 months postoperatively to observe improvements in clinical symptoms and signs，as well as postoperative recurrence rates. ResultsThe overall recurrence rate was 4.7% .The postoperative complication rates were 4.2% for wound infection, 17% for intracranial pneumatocele，and 4.2% for epilepsy. ConclusionsBased on comprehensive preoperative MRI assessment，individualized selection of different surgical procedures for the treatment of CSDH can reduce the postoperative recurrence rate and improve patient prognosis.

Key words :chronic subdural hematoma； magnetic resonance imaging；septation； neovascularization ;middle meningeal artery

慢性硬膜下血肿（chronic subdural hematoma,CSDH)是颅脑损伤后导致颅内出血的常见形式之一，体液、血液和血液降解产物的集合积聚在脑表面蛛网膜和硬脑膜覆盖物之间，形成慢性占位性病变[1]。（剩余10833字）