控制减压术治疗重型创伤性脑损伤手术操作的相关问题
Issues related to surgical procedures of controlled decompression in the treatment of severe traumatic brain injury
杨理坤 1陈涛 1王玉海1
作者信息
- 1. 安徽医科大学无锡临床学院,解放军联勤保障部队第九○四医院神经外科,无锡 214000
- 折叠
摘要
重型创伤性脑损伤(sTBI)具有较高的致死率和致残率,其救治是神经外科的难点、热点问题.控制减压术是救治sTBI合并颅高压的重要技术,可减轻神经组织和颅内血管的缺血再灌注损害,显著降低去骨瓣减压术相关并发症的发生率.然而,临床上对控制减压术的理解不同、手术操作流程欠规范,导致控制减压术的效果受到较大影响.为此,笔者就控制减压术的概念、适应证和手术中注意的问题进行探讨,旨在规范临床操作,进一步提高控制减压术治疗sTBI的疗效.
Abstract
Severe traumatic brain injury(sTBI)has a high mortality and disability rate,making it a difficult issue and hot topic in neurosurgery.Controlled decompression is an important technique in the treatment of sTBI combined with intracranial hypertension,which can reduce the ischemia-reperfusion injury to the nervous tissue and intracranial vessel and can significantly lower the incidence of complications related to decompressive craniectomy.However,the effects of the controlled decompression technique have been affected by different understandings of the technique and nonstandard surgical procedures in clinical practice.For this purpose,the authors discussed the concept of controlled decompression technique,its indications and the key problems during operation so as to standardize the surgical procedures and improve the therapeutic effects of controlled decompression technique in the treatment of sTBI.
关键词
脑损伤/减压术,外科/颅内压/控制减压Key words
Brain injuries/Decompression,surgical/Intracranial pressure/Controlled decompression引用本文复制引用
基金项目
军队后勤科研项目(CLB20J027)
国家自然科学基金面上项目(81871589)
国家自然科学基金面上项目(82072168)
江苏省卫健委重点科研项目(K2019018)
无锡市转化医学研究专项(2020ZHYB18)
无锡市卫计委重大项目(Z201705)
出版年
2024
NETL
NSTL
万方数据