Research advances in surgical treatment of supratentorial cerebral hemorrhage and brain herniation

Wu Peijun; Wang Likun

doi:10.13406/j.cnki.cyxb.003864

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Research advances in surgical treatment of supratentorial cerebral hemorrhage and brain herniation

Frontiers in brain science and neuropsychiatric disorders | 更新时间：2025-10-22

- Research advances in surgical treatment of supratentorial cerebral hemorrhage and brain herniation
- Journal of Chongqing Medical University Vol. 50, Issue 8, Pages: 1021-1028(2025)
- 作者机构：
  
  贵州医科大学附属医院急诊科，贵阳 550004
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.003864
  CLC： R743.34
- Received：12 December 2024，
  
  Revised：2025-03-18，
  
  Accepted：31 March 2025，
  
  Published：28 August 2025
- 稿件说明：
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吴培俊,王丽琨.幕上脑出血并脑疝手术治疗的研究进展[J].重庆医科大学学报,2025,50(8):1021-1028.

Wu Peijun,Wang Likun.Research advances in surgical treatment of supratentorial cerebral hemorrhage and brain herniation[J].Journal of Chongqing Medical University,2025,50(8):1021-1028.
吴培俊,王丽琨.幕上脑出血并脑疝手术治疗的研究进展[J].重庆医科大学学报,2025,50(8):1021-1028. DOI： 10.13406/j.cnki.cyxb.003864.

Wu Peijun,Wang Likun.Research advances in surgical treatment of supratentorial cerebral hemorrhage and brain herniation[J].Journal of Chongqing Medical University,2025,50(8):1021-1028. DOI： 10.13406/j.cnki.cyxb.003864.

摘要

幕上脑出血并发脑疝具有较高的致残率及病死率，手术治疗可改善患者的脑灌注、脑组织代谢、血肿的清除，促进神经功能恢复，主要手术方式有开颅手术、内窥镜手术及立体定向手术。不同的治疗方式对幕上脑出血并脑疝患者的治疗具有一定价值，近年来较多的文献对比不同的治疗方式对患者预后的影响。本文对相关研究进展进行文献复习，对幕上脑出血并脑疝患者的不同治疗方式进行分析并比较，为临床诊治提供参考。

Abstract

Supratentorial cerebral hemorrhage complicated by brain herniation has high disability and mortality rates，and surgical treatment can improve cerebral perfusion，brain tissue metabolism，and hematoma clearance and promote neurological function recovery，with the main surgical procedures of craniotomy，endoscopic surgery，and stereotactic surgery. Different treatment methods have a certain value in the treatment of patients with supratentorial cerebral hemorrhage and brain herniation，and in recent years，an increasing number of studies have focused on the comparison of the impact of different treatment methods on prognosis. This article reviews related research advances and compares thedifferent treatment methods for patients with supratentorial cerebral hemorrhage and brain herniation，in order to provide a reference for clinical diagnosis and treatment.

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重庆医科大学附属第一医院脑外科

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