无症状偶然发现动脉瘤的患病率：对2685例计算机断层血管造影的回顾
Prevalence of asymptomatic incidental aneurysms: a review of 2,685 computed tomographic angiograms.
作者信息
Agarwal Nitin, Gala Nihar B, Choudhry Osamah J, Assina Rachid, Prestigiacomo Charles J, Duffis Ennis J, Gandhi Chirag D
机构信息
Department of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
Department of Neurological Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA; Department of Radiology, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA; Department of Neurology and Neuroscience, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
出版信息
World Neurosurg. 2014 Dec;82(6):1086-90. doi: 10.1016/j.wneu.2013.01.082. Epub 2013 Jan 19.
OBJECTIVE
Intracranial aneurysms are a public health issue with a potential for rupturing, causing significant morbidity/mortality. The prevalence of unruptured intracranial aneurysms, including those that are asymptomatic, varies widely, as it has been determined through autopsy studies as well as conventional angiography. However, computed tomography angiography, a less invasive procedure, has replaced the use of conventional angiography in the recent decades. The objective of the present study is to determine the prevalence of incidental aneurysms.
METHODS
The present study reviews all computed tomography angiography cases within the past decade at a single institution.
RESULTS
Of 2195 cases included in the study, 39 (1.8%) were found to have asymptomatic unruptured aneurysms.
CONCLUSIONS
The numbers of asymptomatic incidental aneurysms have increased.
目的
颅内动脉瘤是一个公共卫生问题，有破裂的潜在风险，可导致严重的发病/死亡。未破裂颅内动脉瘤的患病率，包括那些无症状的动脉瘤，差异很大，这是通过尸检研究以及传统血管造影确定的。然而，计算机断层扫描血管造影术，一种侵入性较小的检查方法，在近几十年已取代了传统血管造影术的使用。本研究的目的是确定偶然发现的动脉瘤的患病率。
方法
本研究回顾了一家机构在过去十年内的所有计算机断层扫描血管造影病例。
结果
在纳入研究的2195例病例中，发现39例（1.8%）有无症状未破裂动脉瘤。
结论
无症状偶然发现的动脉瘤数量有所增加。
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