双边中脑膜动脉栓塞和孔排水用于复发的双边慢性腹膜下部血瘤
Di Tian1, Huanhuan Yu2, Ping Ji1
1Weifang People's Hospital, Shandong Second Medical University.
The Journal of craniofacial surgery
|September 8, 2025
概括
双边慢性腹腔内血瘤 (bCSDH) 可以经常复发. 将中脑膜动脉 (MMA) 栓塞与手术相结合可能会减少bCSDH复发,提供了一个有前途的治疗方法.
科学领域:
- 神经外科 神经外科
- 血管干预放射学 血管干预放射学
背景情况:
- 双边慢性腹腔内血瘤 (bCSDH) 是一种常见的神经外科疾病,重治疗率高.
- 在bCSDH复发背后的机制尚未完全理解.
- 中间脑膜动脉 (MMA) 越来越多地参与慢性体内血瘤的发展和进展.
研究的目的:
- 以一种复杂的bCSDH的案例来介绍,该病例是采用组合方法来管理的.
- 评估双边MMA栓塞和洞疏散在治疗bCSDH的有效性.
- 评估这种联合治疗的潜力,以减少复发.
主要方法:
- 一名79岁的男性在初始排水后出现了复发性bCSDH,他接受了双边MMA栓塞.
- 栓塞与洞疏散进行了整合.
- 连续使用头部CT扫描来监测血液瘤的分辨率.
主要成果:
- 双边MMA栓塞和孔排水的联合治疗导致bCSDH的逐步解决.
- 患者经历了一次平稳的恢复.
- 在随访期间没有观察到bCSDH的复发.
结论:
- 结合双边MMA栓塞和外科疏散似乎是有效的管理bCSDH.
- 这种综合方法可以提供一种策略,以减轻bCSDH复发的风险.
- 需要进一步研究MMA的作用和这种治疗的疗效.
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