自发性脑干出血手术治疗的现状与展望

自发性脑干出血发病率约为原发性脑出血的10%，但其病死率和致残率远高于其他疾病。脑干解剖特点及密集的功能核团与脑干出血手术极高的操作难度有着密不可分的关系。原发性脑干出血的手术治疗方式主要分为开颅血肿清除、血肿穿刺抽吸两类。目前对于脑干手术治疗的适应证尚未形成共识，缺乏大型多中心临床观察结果和循证医学证据的支持。现有的...

Current status and prospects of surgical treatment of spontaneous brainstem hemorrhage

The incidence of spontaneous brainstem hemorrhage is about 10% of that of primary cerebral hemorrhage, but its fatality rate and disability rate are much higher than other diseases. The anatomical characteristics of the brainstem and the dense functional nuclei are closely related to the extremely difficult operation of brainstem hemorrhage surgery. The surgical treatment of primary brainstem hemorrhage is mainly divided into two types: Craniotomy for hematoma removal and hematoma puncture and aspiration. At present, there is no consensus on the indications of brainstem surgery, and there is a lack of large-scale multi-center clinical observation results and evidence-based medical evidence. None of the existing treatment methods have made a breakthrough in the treatment of brainstem hemorrhage. Physicians are often confused due to lack of evidence in clinical work. It is of positive significance to seek an effective treatment for brainstem hemorrhage. © 2021, Chinese Medical Journals Publishing House Co.Ltd. All rights reserved.