[1]刘振生,魏庭丰,孙 勇,等.复发性慢性硬膜下血肿脑膜中动脉影像学特征及介入栓塞治疗[J].介入放射学杂志,2024,33(04):413-418.
 Radiological characteristics of the middle meningeal artery in recurrent chronic subdural hematoma and its embolization therapy.[J].journal interventional radiology,2024,33(04):413-418.
点击复制

复发性慢性硬膜下血肿脑膜中动脉影像学特征及介入栓塞治疗()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年04
页码:
413-418
栏目:
临床研究
出版日期:
2024-05-04

文章信息/Info

作者:
刘振生 魏庭丰 孙 勇 匡雄伟 王友伟 吴臣义 段晓春齐文涛 彭爱军 张 文
Author(s):
Radiological characteristics of the middle meningeal artery in recurrent chronic subdural hematoma and its embolization therapy
LIU Zhensheng, WEI Tingfeng, SUN Yong, KUANG Xiongwei, WANG Youwei, WU Chenyi, DUAN Xiaochun, QI Wentao, PENG Aijun, ZHANG Wen.
关键词:
【关键词】 慢性硬膜下血肿 复发 脑膜中动脉 血管造影 栓塞
文献标志码:
A
摘要:
【摘要】 目的 初步评估复发性慢性硬膜下血肿(chronic subdural hematoma, CSDH)脑膜中动脉形态学和血流动力学特征,及脑膜中动脉栓塞(middle meningeal artery embolization, MMAE)治疗疗效。方法 回顾性分析我院2019年5月至2022年12月期间31例(15.2%)外科钻孔引流术后复发并接受MMAE治疗的20例单侧CSDH患者的临床及影像资料。于3D- TOF MRA测量患侧MMA直径、相对血流速度,并与随机抽取同期外科钻孔引流术后未复发的20例CSDH患者作为对照。随访观察MMAE术后影像学结果、临床症状改善及并发症等。结果 复发组患侧MMA平均直径(1.55±0.45) mm明显大于对照组(1.32±0.36) mm,两组差异有统计学意义(t=2.118,P=0.028)。复发组相对血流速度(SI比值均数,1.45±0.23)明显大于对照组(SI比值均数,1.23±0.26),两组差异有统计学意义(t=3.493,P=0.001)。复发组血肿外膜强化分级评分(2.25±0.55)分,对照组(1.60±0.68)分,两组差异有统计学意义(t=3.322,P=0.002)。MMAE术后影像学随访血肿完全吸收19例(95%),其中3个月完全吸收8例(40%),6个月完全吸收16例(95%),中位吸收时间16周(IQR: 7~22)。除1例复发症状反复外,余患者临床症状均不同程度改善,所有患者均未见手术相关并发症。结论 与非复发者相比,外科术后复发侧血肿外膜血供更丰富、MMA管径更粗、血流速度更快,MMAE是治疗此类CSDH安全有效的方法。

相似文献/References:

[1]杨熙章,吴纪瑞,杨永岩,等.灌注化疗预防肝癌术后复发[J].介入放射学杂志,1999,(02):32.
[2]许晓泉,施海彬,刘   圣,等. 外伤性颈动脉海绵窦瘘球囊栓塞术后复发危险因素分析及治疗[J].介入放射学杂志,2011,(12):931.
 XU Xiao-quan,SHI Hai-bin,LIU Sheng,et al.The analysis of risk factors and the treatment of recurrent traumatic carotid cavernous fistulas previously managed with detachable balloons[J].journal interventional radiology,2011,(04):931.
[3]顾俊鹏,顾 朋,迪力木拉提?巴吾东,等. 大咯血的介入治疗及复发的影响因素分析[J].介入放射学杂志,2012,(11):952.
 GU Jun? peng,GU Peng,DilimulatiBawudong,et al. The interventional management of massive hemoptysis and the analysis of factors influencing its recurrence[J].journal interventional radiology,2012,(04):952.
[4]胡 萍,司同国,郭 志.血清高迁移率族蛋白B1检测在T3N0M0期前列腺癌冷冻治疗后复发中的意义[J].介入放射学杂志,2013,(04):298.
 HU Ping,SI Tong? guo,GUO Zhi..The significance of serum HMGB1 in forecasting the recurrence of stage T3N0M0 prostate cancer after cryotherapy[J].journal interventional radiology,2013,(04):298.
[5]徐国斌,易广新,熊斌,等.原发性肝癌术后早期肝内复发转移36例的介入治疗[J].介入放射学杂志,2013,(04):325.
 XU Guo? bin,YI Guang? xin,XIONG Bin,et al.Interventional treatment of early intrahepatic recurrence or metastasis of primary liver carcinoma after surgical resection: initial experience of 36 cases[J].journal interventional radiology,2013,(04):325.
[6]任国荣,姜 平,曹枭强,等. 基于CT的三维颈内动脉瘤手术前后的血流动力学分析[J].介入放射学杂志,2013,(10):825.
 REN Guo? rong,JIANG Ping,CAO Xiao? qiang,et al. Hemodynamic analysis of preoperative and postoperative carotid aneurysm by using CT 3- D numerical simulation[J].journal interventional radiology,2013,(04):825.
[7]宗迎迎,徐 浩,许 伟,等.经肝动脉化疗栓塞联合经皮微波消融序贯治疗早期肝癌的疗效及预后影响因素[J].介入放射学杂志,2015,(03):210.
 ZONG Ying ying,XU Hao,XU Wei,et al.Sequential therapy of TACE followed by percutaneous microwave coagulation for early stage primary hepatocellular carcinomas: curative effect and prognostic factors[J].journal interventional radiology,2015,(04):210.
[8]任 炜,杨 薇.射频消融治疗复发性肝癌疗效及预后因素分析[J].介入放射学杂志,2015,(10):923.
 REN Wei,YANG Wei.Radiofrequency ablation for the treatment of recurrent hepatocellular carcinoma: analysis of the therapeutic results and prognostic factors[J].journal interventional radiology,2015,(04):923.
[9]徐中琪,甘 伟,钱国军.复发性肝内胆管细胞癌治疗现状[J].介入放射学杂志,2016,(09):834.
 XU Zhong- qi,GAN Wei,QIAN Guo- jun.The treatment of recurrent intrahepatic cholangiocarcinomas: its present situation[J].journal interventional radiology,2016,(04):834.
[10]徐中琪,甘 伟,刘 晟,等.经皮热消融治疗术后复发型肝内胆管细胞癌疗效分析[J].介入放射学杂志,2016,(11):973.
 XU Zhong- qi,GAN Wei,LIU Sheng,et al.Percutaneous thermal ablation for the treatment of recurrent intrahepatic cholangio carcinoma: analysis of curative effect[J].journal interventional radiology,2016,(04):973.

备注/Memo

备注/Memo:
Department of Interventional Radiology, Affiliated Hospital of Yangzhou University, Yangzhou, Jiangsu Province 225001, China
更新日期/Last Update: 2024-05-04