中国卒中杂志2025，Vol.20Issue(12)：1480-1486,7.DOI:10.3969/j.issn.1673-5765.2025.12.002
脑出血外科治疗存在的问题及未来发展方向
Current Challenges and Future Directions in the Surgical Treatment of Intracerebral Hemorrhage
摘要
Abstract
Intracerebral hemorrhage is a common cerebrovascular disease characterized by high mortality and high disability rates.Surgical treatment plays a crucial role in its management,yet it still faces multiple challenges.Conventional craniotomy is plagued by the issue of imbalance between trauma and benefits,with poor efficacy for deep-seated hematomas.Although minimally invasive surgery has certain advantages,it is limited by insufficient standardization and weak evidence support,failing to form a universally applicable and efficient protocol.Additionally,disparities in medical resources between urban and rural areas lead to the uneven outcomes of surgical treatment for intracerebral hemorrhage.To improve the efficacy of surgical treatment for intracerebral hemorrhage,it is essential to accurately define surgical indications,establish a comprehensive preoperative evaluation system,and integrate emerging technologies such as artificial intelligence to achieve personalized treatment.The efficiency and safety of minimally invasive hematoma evacuation should be enhanced through emerging technologies such as surgical robots.Advanced treatment concepts and technologies need to be extended to grassroots medical institutions via telesurgery,lightweight devices,and cloud-based collaboration.Multidisciplinary collaboration and linkage with hierarchical medical systems should be strengthened to realize efficient surgical treatment of intracerebral hemorrhage.In the future,with the in-depth integration of various technologies,surgical treatment for intracerebral hemorrhage will move toward a more precise,accessible,and high-quality stage.关键词
脑出血/外科治疗/微创手术/手术机器人/技术推广Key words
Intracerebral hemorrhage/Surgical treatment/Minimally invasive surgery/Surgical robot/Technology promotion分类
医药卫生引用本文复制引用
王乔,张东..脑出血外科治疗存在的问题及未来发展方向[J].中国卒中杂志,2025,20(12):1480-1486,7.基金项目
中国医学科学院医学与健康科技创新工程(科技成果转化与应用专项项目)(2024-I2M-ZH-024) （科技成果转化与应用专项项目）
