首页|浅谈颅脑外伤精准诊疗与分子标志物

浅谈颅脑外伤精准诊疗与分子标志物

Brief discussion on precise diagnosis and treatment of craniocerebral trauma and molecular markers

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颅脑外伤(TBI)是导致伤害相关死亡和残疾的疾病之首,其治疗和预后评估面临重大挑战.无论是从受伤性质、时间、严重程度等维度上,TBI的异质性导致诊疗策略复杂化.目前已有多个版本较为完善的指南指导着TBI的全流程诊疗,但是包括手术时机和干预方式的选择、预后准确性、影像学检查节点等诸多方面仍存在争议,过于保守或积极的决策都可能导致患者及其家庭受到严重影响.近年来,随着生物学技术理论的爆发式发展,越来越多的生物分子标志物在TBI的评估中显现出重要作用.当前的不少TBI预后模型为临床救治提供了参考,进一步结合生物标志物和其他临床特征可能会提高预测诊疗的准确性.未来,如单细胞基因组学、代谢组学等新技术对分子标志物的进一步研究和大样本临床数据库的建立整合,有望推动TBI的精准医疗,改善个体化治疗方案并改善预后结果.
Traumatic brain injury(TBI)is a major cause of injury-related death and disability,and its treatment and prognosis evaluation present challenges.The heterogeneity of TBI complicates diagnostic and therapeutic strategies,considering factors such as injury nature,timing,and severity.Several comprehensive guidelines currently guide the entire process of TBI management.However,there are still controversies regarding surgical timing and intervention methods,prognosis accuracy,and imaging checkpoints.Both overly conservative and overly aggressive decisions can impact patients and their families.With the rapid development of biological technologies in recent years,an increasing number of biomolecular markers have proven to be significant in TBI assessment.Current TBI prognosis models provide clinical references,and further integration with biomarkers and other clinical characteristics may enhance predictive accuracy.Future advancements in single-cell genomics,metabolomics,and the establishment of large-scale clinical databases are expected to drive precision medicine in TBI,improving personalized treatment strategies and outcomes.

traumatic brain injurymolecular markerprecision medical careprognostic modeling

季晶

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210029 南京,南京医科大学第一附属医院

颅脑外伤 分子标志物 精准诊疗 预后模型

国家自然科学基金项目

82120108018

2024

临床神经外科杂志
南京医科大学附属脑科医院

临床神经外科杂志

CSTPCD
影响因子:1.019
ISSN:1672-7770
年,卷(期):2024.21(4)