Zipfel Gregory J, Dacey Ralph G
Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Neurosurg Focus. 2004 Nov 15;17(5):E2. doi: 10.3171/foc.2004.17.5.2.
Over the past decade, several factors have led to a dramatic change in the manner in which patients with unruptured intracranial aneurysms are diagnosed and treated. These factors include the increased use of noninvasive imaging modalities for the diagnosis of intracranial aneurysms, publication of new natural history data detailing the hemorrhage risks associated with unruptured intracranial aneurysms, and the broad application of endovascular therapy for their treatment. With these new technologies and new natural history data has come considerable uncertainty about the optimal treatment strategy for patients with unruptured intracranial aneurysms. In this light, it seems prudent to review periodically and examine critically all recent data pertaining to the natural history and treatment of unruptured intracranial aneurysms, in an effort to provide a scientific update on which management recommendations can be based. This review article represents the authors' attempt at such an update, and it is their hope that members of the community of neurovascular surgeons might find this information helpful during their continuing efforts to provide optimal care for their patients with unruptured intracranial aneurysms.
在过去十年中，有几个因素导致了未破裂颅内动脉瘤患者的诊断和治疗方式发生了巨大变化。这些因素包括用于诊断颅内动脉瘤的非侵入性成像方式的使用增加、详细描述未破裂颅内动脉瘤出血风险的新自然史数据的发表以及血管内治疗在其治疗中的广泛应用。随着这些新技术和新自然史数据的出现，对于未破裂颅内动脉瘤患者的最佳治疗策略产生了相当大的不确定性。有鉴于此，定期回顾并严格审视所有与未破裂颅内动脉瘤自然史和治疗相关的最新数据，似乎是审慎之举，以便努力提供可作为管理建议依据的科学更新。这篇综述文章代表了作者进行此类更新的尝试，他们希望神经血管外科医生群体的成员在继续努力为未破裂颅内动脉瘤患者提供最佳护理的过程中，能发现这些信息有所帮助。
