放射和临床进展从急性到慢性腹腔内血瘤:一个系统的审查
Adrian Liebert1, Leonard Ritter2, Karl-Michael Schebesch2
1Department of Neurosurgery, Paracelsus Medical University, Nuremberg General Hospital, Nuremberg, Germany - adrian.liebert@stud.pmu.ac.at.
Journal of neurosurgical sciences
|July 30, 2025
概括
一些急性腹腔内血瘤 (ASDH) 进展为慢性腹腔内血瘤 (CSDH),需要手术. 关键的进展因素包括最初的血瘤大小和中线转移,通常需要在三周内进行手术.
科学领域:
- 神经外科 神经外科
- 创伤性脑损伤 创伤性脑损伤
- 放射学 放射学是一门学科.
背景情况:
- 急性亚皮血瘤 (ASDH) 的管理有所不同,一些患者的治疗方法是保守的.
- 一些ASDH病例的子集可以发展为慢性腹腔内血瘤 (CSDH).
- 本综述综合了关于ASDH进展到CSDH的证据.
研究的目的:
- 确定保守管理的ASDH进展到CSDH的百分比.
- 为了确定与ASDH进展相关的风险因素,时间表和临床/放射学变化.
- 审查由ASDH引起的CSDH的手术治疗方法.
主要方法:
- 对相关医疗数据库进行系统审查.
- 分析了14项符合纳入标准的研究.
- 专注于关于ASDH向CSDH的进展的六个关键问题.
主要成果:
- 6.5%至45.3%的保守管理的ASDH进展到需要手术的CSDH.
- 进展的重大风险因素包括最初的血液瘤大小和中线转移.
- 进展通常发生在2-3周内,血液瘤密度降低,但大小和中线变化增加,往往需要孔三化.
结论:
- ASDH向CSDH的进展涉及血液瘤大小增加和中线转移,导致临床症状恶化.
- 这些病例通常需要在创伤后的第二或第三周内进行外科手术.
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