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颅内夹层动脉瘤的临床特点及诊治研究进展 被引量:7

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摘要 颅内夹层动脉瘤(intracranial dissecting aneurysm,IDA)是指颅内动脉由于先天性因素、血流动力学改变等导致血管壁内膜损伤,血液经破裂口在血管壁之间积聚而形成血肿,向内使管腔狭窄、闭塞,向外形成血管壁的凸起,从而影响动脉管腔内血流正常流动[1]。IDA主要发生在颅内动脉的前循环和后循环,虽然发病率相对较低,但是病死率和致残率较高,发病群体年轻化,平均发病年龄约30岁,男性居多。此外,部分未破裂IDA缺乏特异性临床表现,诊断困难,从而影响早期治疗和精准诊治[2,3]。本文重点总结IDA的临床特点、诊断及治疗方式新进展,为临床诊治提供参考。
出处 《中国临床神经外科杂志》 2021年第4期305-308,共4页 Chinese Journal of Clinical Neurosurgery
作者简介 通讯作者:李宗正,E-mail:nxlizongzh@163.com。
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  • 1Kassell. NF, Torner JC, Haley EC Jr, et al. The international cooperative study on the timing of aneurysm surgery. Part 1. Overall management results [J]. J Neurosurg, 1990, 73(1): 18-36.
  • 2Peng RC, Kai F, Robert S. Current treatment options for unruptured intracranial aneurysrns [J]. Neurosurg Focus, 2004, 17(15): E5.
  • 3Juvela S, Porras M, Poussa K. Natural history of unruptured intracranial aneurysms: probability of and risk factors for aneurysm rupture [J]. J Neurosurg, 2008, 108(5): 1052- 1060.
  • 4Proust F, Gerardin E, Chazal J. Unruptured intraeranial aneurysm and mierosurgical exclusion: the need of a randomized study of surgery versus natural history [J]. J Neuroradiol, 2008, 35(2): 109-115.
  • 5Schivink WI, Piepgras DG, Wirth FP. Rupture of previously documented small asymptomatics saccular intracranial aneurysm [J]. J Neurosurg, 1992, 76(6): 1019-1024.
  • 6Wiebers DO. Patients with small, asymptomatic, unruptured intracranial aneurysms and no history of subarachnoid hemorhage should generally be treated conservatively: for [J]. Stroke, 2005, 36(2): 408-409.
  • 7Weir B. Patients with small, asymptomatie, unruptured intracranial aneurysms and no history of subarachnoid hemorhage should be treated conservatively: against [J]. Stroke, 2005,36(2): 410-411.
  • 8Bernhard Kis, Werner Weber. Treatment of unruptured cerebral aneurysms do we have sufficient decision criteria [J]? Clin Neuroradiol, 2007, 17(3): 159-166.
  • 9Hashimoto N, Handa H. The size of cerebral aneurysms in relation to repeated rupture [J]. Surg Neurol,1983, 19(2): 107-111.
  • 10M.G.亚萨吉尔著.显微神经外科学(Ⅱ卷)[M].凌锋主译.北京:中国科学技术出版社,2002.298-321.

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