颅内巨大动脉瘤的治疗研究进展  

Recent advance in treatment of giant intracranial aneurysms

作　　者：钱东翔[1] 王双志 

机构地区：[1]广州医科大学附属第三医院神经外科,广州510515

出　　处：《中华神经医学杂志》2016年第5期536-539,共4页Chinese Journal of Neuromedicine

摘　　要：颅内巨大动脉瘤是指直径〉2.5 cm的动脉瘤，其属于复杂动脉瘤，约占颅内动脉瘤的5%。此类动脉瘤破裂导致的病残率和病死率极高。颅内巨大动脉瘤目前多采用外科治疗、血管内治疗及新生的复合（杂交）手术这3种主要的手术方式治疗。本文将对其治疗方式进行综述，以期增进临床医师对此类动脉瘤治疗方法发展方向的了解。Giant intracranial aneurysms refers to the diameter of aneurysms larger than 2.5 cm, which belongs to the complicated aneurysms, accounting for about 5% of intracranial aneurysms; rupture of the aneurysms leads to extremely high disability rate and fatality rate. At present, surgical treatment, endovascular treatment and new composite （hybrid） surgery are the three major surgical approaches. We summarize the treatment approaches to promote an update on treatment of such aneurysms and give understanding on the development and direction of aneurysm treatment.

关 键 词：颅内动脉瘤 巨大型 外科治疗 血管内治疗 复合(杂交)手术 

分 类 号：R651.12[医药卫生—外科学]