脑膜中动脉栓塞术治疗急性创伤性硬膜外血肿3例并文献复习

目的探索通过脑膜中动脉（MMA）栓塞的方法治疗急性创伤性硬膜外血肿（ATEDH）的可行性及有效性。方法回顾性分析南京医科大学附属逸夫医院神经外科2021年11月—2022年2月收治的3例MMA栓塞治疗ATEDH的临床资料，结合相关文献，探讨介入栓塞治疗硬膜外血肿的方法及疗效。结果对于急性硬膜外血肿的患者，超早期进行介入栓塞治疗可以有效止血，消除血肿进展风险。结论选择性MMA栓塞术超早期治疗ATEDH具有较高的安全性，可以有效避免患者接受创伤更大的外科手术治疗，降低患者花费，使患者获得更大的收益。

Objective To explore the feasibility and effectiveness of treating acute traumatic epidural hematoma(ATEDH) through middle meningeal artery（MMA） embolization. Methods The clinical data of 3 cases of ATEDH treated with MMA embolization admitted to the Department of Neurosurgery, the Affiliated SIR Run Run Hospital of Nanjing Medical University from November 2021 to February 2022 were analyzed retrospectively. Combined with relevant literature, the methods and efficacy of interventional embolization treatment for epidural hematoma were explored. Results For patients with acute epidural hematoma, early interventional embolization therapy could effectively stop bleeding and eliminate the risk of hematoma progression. Conclusion Selective MMA embolization has high safety in the early treatment of ATEDH, which can effectively avoid patients from undergoing more traumatic surgical treatment, reduce patient costs, and enable patients to obtain greater benefits.