摘要
儿童慢性硬膜下积液在婴幼儿群体中具有较高的发病率。本病可分为外伤性、感染性和特发性等类型,临床表现多样,从无症状到颅内压增高、神经功能缺损不等。本文系统总结了儿童慢性硬膜下积液的诊断方法、治疗策略及预后评估,着重分析保守治疗与手术治疗(包括钻孔引流、硬膜下-腹腔分流术、开颅手术等)的适应证、技术要点和疗效差异。同时,本文也探讨了免疫治疗等方法的应用前景。
Pediatric chronic subdural effusion(PCE)is a prevalent neurosurgical condition in children,particularly among infants and young children.Classified into traumatic,infectious,and idiopathic types,it manifests clinically from asymptomatic to varying degrees of intracranial hypertension and neurological deficits.This systematic review examines diagnostic approaches,therapeutic strategies,and prognosis assessment for PCE,with particular focus on comparing conservative management versus surgical interventions(including burr hole drainage,subdural-abdominal shunt,and craniotomy)in terms of indications,technical nuances,and efficacy.Emerging modalities such as immunotherapy are also explored.
作者
董芳永
赵一清
吴亢
王煜
张华楸
舒凯
雷霆
DONG Fangyong;ZHAO Yiqing;WU Kang;WANG Yu;ZHANG Huaqiu;SHU Kai;LEI Ting(Department of Neurosurgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《临床外科杂志》
2025年第11期1226-1228,共3页
Journal of Clinical Surgery
关键词
儿童
慢性硬膜下积液
钻孔引流
分流手术
免疫治疗
预后
children
chronic subdural effusion
burr hole drainage
shunt surgery
immunotherapy
prognosis
