重型外伤性脑损伤的神经外科治疗进展

A. Shukri, E. M. Nogovitsina
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引用次数: 0

摘要

创伤性脑损伤(TBI)是造成40岁以下人群死亡和残疾的主要原因之一。因此,研究这一领域的神经外科是高度相关的。这篇综述提出了对当前TBI神经外科趋势的见解,强调严重形式的管理。通过对与各种形式的创伤性脑损伤相关的英文和俄语同行评议出版物的文献回顾,我们发现了三个主要的研究领域:1)外科技术随着微创入路的发展而发展,设备和材料的改进/发展;2)寻找可靠的评估工具,预测患者术后早期和远期的病情;3)评价多模态方法诊断脑病理的有效性。关键词:外伤性脑损伤,TBI,重度TBI,外科,神经外科,方法,生物标志物
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RECENT ADVANCES IN NEUROSURGICAL INTERVENTION FOR SEVERE TRAUMATIC BRAIN INJURY
Traumatic brain injury (TBI) is one of the leading causes of death and disability in those aged under 40 years. Therefore, research in this area of neurosurgery is highly relevant. The review presents insights on current trends in TBI neurosurgery, emphasising severe forms management. Literature review of English and Russian language peer-reviewed publications relating to various forms of TBI showed three main research areas: 1) evolution of surgical techniques with the development toward minimally invasive approaches with equipment and materials modification/development; 2) search for reliable assessment tools to predict the patient's condition in the early and remote postoperative periods; 3) evaluation of the effectiveness of multimodal approaches for diagnosing brain pathology. Keywords: Traumatic brain injury, TBI, severe TBI, surgery, neurosurgery, methods, biomarkers.
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