PDF(Pubmed)
Abstract：
Neurosurgery is based on neuroscience, physiology and medical physics. Therefore, neurosurgery has also developed along with discoveries and innovations in these fields. The present article outlines the areas of neurosurgery and their development until 2022. Technology for the preservation of the central nervous system and cranial nerve function has made remarkable progress through the integration of diagnostic imaging and functional evaluation capabilities. Endovascular treatment strategies of cerebrovascular disorders have also progressed. The procedures have not only shifted from craniotomy to endovascular catheterization, but the devices used in these procedures have also changed. In addition to these traditional disease treatment strategies/techniques, neurosurgical techniques have recently been used in surgical procedures to improve quality of life. Epilepsy, is one of the diseases that does not significantly have a direct impact on life outcomes. However, epilepsy patients find it difficult to reintegrate into society. In epilepsy, seizure management is important, and some subgroups of patients can be better treated using surgical intervention than by using pharmacotherapy. In addition, the treatment of dementia due to idiopathic normal pressure hydrocephalus can be improved by surgical management of the cerebrospinal fluid. Neurosurgical intervention can help diseased patients reintegrate into society, which is difficult without treatment. Even in these disease groups, surgical intervention may have irreversible consequences. Therefore, its implications should be decided based on universal scientific evidence.
摘要：
神经外科是以神经科学为基础的,生理学和医学物理学。因此,神经外科也随着这些领域的发现和创新而发展。本文概述了神经外科领域及其直到2022年的发展。通过整合诊断成像和功能评估能力，保存中枢神经系统和颅神经功能的技术取得了显着进展。脑血管疾病的血管内治疗策略也取得了进展。手术不仅从开颅手术转变为血管内导管插入术，但是这些程序中使用的设备也发生了变化。除了这些传统的疾病治疗策略/技术，神经外科技术最近被用于外科手术，以提高生活质量。癫痫,是对生活结果没有显著直接影响的疾病之一。然而,癫痫患者很难重新融入社会。在癫痫中，癫痫发作管理很重要，和一些亚组的患者可以更好的治疗使用手术干预比使用药物治疗。此外,特发性正常压力脑积水引起的痴呆的治疗可以通过脑脊液的手术治疗得到改善。神经外科干预可以帮助患病患者重新融入社会，不治疗很难。即使在这些疾病组中，手术干预可能会产生不可逆转的后果。因此,其含义应根据普遍的科学证据来决定。
