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幕上多发性动脉瘤的外科治疗。

Surgical treatment of multiple supratentorial aneurysms.

作者信息

Rodriguez y Baena R, Rainoldi F, Silvani V, Gaetani P, Bonezzi C

出版信息

Neurochirurgia (Stuttg). 1986 Jan;29(1):20-4. doi: 10.1055/s-2008-1053692.

DOI:10.1055/s-2008-1053692
PMID:3960250
Abstract

Multiple aneurysms are a common radiological finding in patients who have had a SAH. The doubtful question in the treatment of multiple aneurysms is whether to delay operation or treat the unruptured aneurysms conservatively. Patients with multiple intracranial aneurysms treated conservatively, have a late-rebleeding rate of 3% every year. We report our experience in seven cases treated surgically with complete exclusion of all the aneurysms. Surgical morbidity and mortality rates vary between 5 and 10%, although surgical procedures must be performed as soon as possible and should be preferred to delayed treatment.

摘要

多发性动脉瘤是蛛网膜下腔出血(SAH)患者常见的影像学表现。多发性动脉瘤治疗中存在疑问的问题是,是延迟手术还是对未破裂的动脉瘤采取保守治疗。保守治疗的颅内多发性动脉瘤患者每年的再出血率为3%。我们报告了7例通过手术完全排除所有动脉瘤的治疗经验。手术的发病率和死亡率在5%至10%之间,尽管手术必须尽快进行,且应优先于延迟治疗。

相似文献

1
Surgical treatment of multiple supratentorial aneurysms.幕上多发性动脉瘤的外科治疗。
Neurochirurgia (Stuttg). 1986 Jan;29(1):20-4. doi: 10.1055/s-2008-1053692.
2
Rupture of cerebral aneurysm during angiography.脑血管造影术中脑动脉瘤破裂。
Neurochirurgia (Stuttg). 1986 Jan;29(1):31-3. doi: 10.1055/s-2008-1053695.
3
[Results of surgical treatment of intracranial aneurysms].
Neurol Neurochir Pol. 1992;Suppl 1:29-35.
4
Aneurysms of the ophthalmic (C6) segment of the internal carotid artery: treatment options and strategies based on a clinical series.颈内动脉眼段(C6)动脉瘤:基于临床系列病例的治疗选择与策略
J Neurosurg Sci. 2004 Dec;48(4):149-56.
5
Bypass Surgeries in the Treatment of Cerebral Aneurysms.旁路手术治疗脑动脉瘤
Acta Neurochir Suppl. 2016;123:57-64. doi: 10.1007/978-3-319-29887-0_8.
6
[One-stage operation in 4 intracranial aneurysms].
Neurol Neurochir Pol. 1981 Jul-Aug;15(4):511-4.
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Giant aneurysms: surgical treatment.
Neurol Res. 1984 Mar-Jun;6(1-2):57-63. doi: 10.1080/01616412.1984.11739665.
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Acute extracranial-intracranial bypass using a radial artery graft along with trapping of a ruptured blood blister–like aneurysm of the internal carotid artery. Clinical article.急性颅外-颅内旁路手术采用桡动脉移植物,同时夹闭颈内动脉破裂的血疱样动脉瘤。临床文章。
J Neurosurg. 2010 Oct;113(4):781-5. doi: 10.3171/2009.10.JNS09970.
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Elective EC-IC bypass for unclippable intracranial aneurysms.用于无法夹闭的颅内动脉瘤的择期颅外-颅内血管搭桥术。
Neurol Res. 1984 Mar-Jun;6(1-2):64-8. doi: 10.1080/01616412.1984.11739666.
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Surgical management of giant intracranial aneurysms.巨大颅内动脉瘤的外科治疗
Clin Neurol Neurosurg. 2008 Jul;110(7):674-81. doi: 10.1016/j.clineuro.2008.04.001. Epub 2008 May 19.

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Endovascular coiling of multiple (more than four) intracranial aneurysms. Case report.多发性(超过4个)颅内动脉瘤的血管内栓塞术。病例报告。
Interv Neuroradiol. 2004 Mar 14;10(1):75-81. doi: 10.1177/159101990401000110. Epub 2004 Oct 22.