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颅内动脉瘤的管理

Management of intracranial aneurysms.

作者信息

Chang S D, Steinberg G K

机构信息

Department of Neurosurgery and the Stanford Stroke Center, Stanford University Medical Center, CA 94305, USA.

出版信息

Vasc Med. 1998;3(4):315-26. doi: 10.1177/1358836X9800300407.

Abstract

Intracranial aneurysms are lesions commonly encountered by neurosurgeons, usually as a result of subarachnoid hemorrhage. The preferred treatment of these aneurysms is either surgical clipping or endovascular coiling, both of which eliminate the aneurysm from the normal circulation to prevent aneurysmal enlargement or additional hemorrhage. Despite advances over the last several decades in the understanding of intracranial aneurysms, morbidity from treatment of these lesions remains significant. This review will discuss the epidemiology, anatomy and pathophysiology, clinical and radiographic diagnosis, various treatment options, and potential complications from aneurysm treatment.

摘要

颅内动脉瘤是神经外科医生常见的病变,通常是蛛网膜下腔出血的结果。这些动脉瘤的首选治疗方法是手术夹闭或血管内栓塞,这两种方法都能使动脉瘤从正常循环中消除,以防止动脉瘤扩大或再次出血。尽管在过去几十年里对颅内动脉瘤的认识有了进展,但这些病变治疗的发病率仍然很高。本文将讨论颅内动脉瘤的流行病学、解剖学和病理生理学、临床和影像学诊断、各种治疗选择以及动脉瘤治疗的潜在并发症。

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