脑膜中动脉栓塞联合钻孔引流术治疗老年慢性硬膜下血肿临床效果及对短期预后的影响

doi:10.19854/j.cnki.1008-2425.2026.01.0006

摘要/Abstract

摘要： 目的探讨脑膜中动脉栓塞术(middle meningeal artery embolization,MMAE)联合钻孔引流术联合对老年慢性硬膜下血肿(chronic subdural hematoma,CSDH)对患者临床来哦小及短期预后的影响。方法本研究选取2023年5月至2025年2月期间,本院收治的88例老年CSDH患者作为研究对象,采用随机分组的方法,将其均分为常规治疗组与观察组,每组各含44例患者,给与常规治疗组钻孔引流术治疗,观察组在常规治疗组基础上采用MMAE治疗,对比2组临床疗效及随访1个月后的复发情况、脑组织复张以及残疾情况。结果观察组临床总有效率明显高于常规治疗组,且血肿消除时间、住院时间以及并发症发生率均明显低于常规治疗组(P＜0.05)。手术后,观察组的生活质量各维度评分均高于常规治疗组(P＜0.05)。随访1个月,观察组的复发率和残疾率低于常规治疗组,且脑组织复张良好率高于常规治疗组(均P＜0.05)。结论 MMAE联合钻孔引流术能够有效提高老年CSDH患者临床疗效,降低其并发症发生几率,改善其生活质量,且短期预后较好,具有较高的临床应用价值。

关键词: 脑膜中动脉栓塞术, 钻孔引流术, 老年, 慢性硬膜下血肿, 临床效果, 短期预后

Abstract: Objective To investigate the effect of middle meningeal artery embolization (MMAE) combined with drilling and drainage on the clinical come oh and short-term prognosis of elderly chronic subdural hematoma (CSDH) patients. Methods In this study,88 cases of elderly CSDH patients admitted to our hospital between May 2023 and February 2025 were selected as the study subjects,and were divided into the conventional treatment group and the observation group by randomized grouping method,each containing 44 patients,and were given drilling and drainage treatment for the conventional treatment group,and the observation group was treated with MMAE on the basis of the conventional treatment group,and the two groups were compared in terms of their clinical efficacy and Compare the clinical efficacy of the two groups and the recurrence,brain tissue reexpansion and disability of the two groups after 1 month of follow-up. Results The total clinical efficacy rate of the observation group was significantly higher than that of the conventional treatment group,and the hematoma elimination time,hospitalization time,and complication rate were significantly lower than that of the conventional treatment group (P＜0.05).After surgery,the quality of life scores of the observation group were higher than those of the conventional treatment group (P＜0.05).At 1-month follow-up,the recurrence and disability rates of the observation group were lower than those of the conventional treatment group,and the rate of good brain tissue reopening was higher than that of the conventional treatment group (both P＜0.05). Conclusion MMAE combined with drilling and drainage can effectively improve the clinical efficacy of elderly patients with CSDH,reduce the incidence of complications,improve their quality of life,and the short-term prognosis is better,which has a high clinical value.

Key words: Middle meningeal artery embolization, drilling and drainage, Elderly, Chronic subdural hematoma, Clinical effect, Short-term prognosis

中图分类号:

R743

徐晓炜, 王燕, 孙羽. 脑膜中动脉栓塞联合钻孔引流术治疗老年慢性硬膜下血肿临床效果及对短期预后的影响[J]. 立体定向和功能性神经外科杂志, 2026, 39(1): 38-43.

Xu Xiaowei, Wang Yan, Sun Yu. Clinical effect of middle meningeal artery embolization combined with drilling and drainage in the treatment of chronic subdural hematoma in the elderly and its effect on short-term prognosis[J]. Chinese Journal of Stereotactic and Functional Neurosurgery, 2026, 39(1): 38-43.

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