中国颅内未破裂动脉瘤诊疗指南2021  

Chinese guidelines for diagnosis and treatment of unruptured intracranial aneurysm 2021

作　　者：中国医师协会神经介入专业委员会 中国颅内动脉瘤计划研究组 张鸿祺[2] 杨新健[3] 屈延 贺民[5] 段传志[6] 耿介文 翟晓东[7] 吉喆 向思诗 冯华[7] 王天龙[7] 刘健[8] 朱巍 李文强 米热扎提·吐尔洪 刘海啸 郭为 伍聪 李路莹 梁锐超 曾云辉 郭慎全 何旭英[11] 

机构地区：[1]不详 [2]首都医科大学宣武医院神经外科,北京100053 [3]首都医科大学附属北京天坛医院神经介入科,100070 [4]空军军医大学唐都医院神经外科,西安710038 [5]四川大学华西医院神经外科,成都610000 [6]南方医科大学珠江医院神经外科,广州510282 [7]首都医科大学宣武医院 [8]首都医科大学附属北京天坛医院 [9]空军军医大学唐都医院 [10]四川大学华西医院 [11]南方医科大学珠江医院

出　　处：《中国脑血管病杂志》2021年第9期634-664,共31页Chinese Journal of Cerebrovascular Diseases

基　　金：国家重点研发计划重大慢性非传染性疾病防控研究重点专项资助项目(2016YFC1300800)。

摘　　要：颅内未破裂动脉瘤(UIA)较为常见,动脉瘤一旦破裂,致死率、致残率高。UIA诊疗过程包括动脉瘤检出、评估破裂风险及治疗获益、治疗策略选择及术后随访等,对UIA的全面了解和精准评估有助于更好地治疗该疾病。2015年美国卒中协会出版了颅内未破裂动脉瘤诊疗指南,此后关于UIA的高质量研究及先进的诊疗技术陆续发布,但目前仍缺乏适合中国人群的UIA诊疗指南推荐。中国医师协会神经介入专业委员会和国家“十三五”中国颅内动脉瘤计划研究组,组织专家制订了《中国颅内未破裂动脉瘤诊疗指南2021》。该指南对UIA的流行病学特点、影像学检查、风险评估、介入治疗、开颅治疗及术后随访等方面进行了详细撰写,旨在以最新的循证医学证据指导我国UIA的规范性诊疗。Unruptured intracranial aneurysm(UIA)is a common disease with a high mortality and morbidity rate once the aneurysm ruptures.The process of UIA diagnosis and treatment includes detection of aneurysm,assessment of the rupture risk and treatment benefits,selection of treatment strategies and postoperative follow-up.A complete understanding and precise assessment of UIA is conductive to better treatment of the disease.In 2015,the American Stroke Association published guidelines for the management of UIA,and since then,high-quality researches and advanced techniques for the management of UIA have been continuously publishing.At the same time,tailored recommendations for the management of UIA for Chinese population are still lacking.The Chinese Federation of Interventional Clinical Neurosciences,Chinses Medical Doctor Association and the China Intracranial Aneurysm Project Study Group of the National“13th Five-Year Plan”have organised experts to formulate Chinese Guidelines for Diagnosis and Treatment of Unruptured Intracranial Aneurysms 2021.This guideline is written in details on the epidemiology,imaging examination,risk assessment,interventional treatment,open surgery and postoperative follow-up of UIA,aiming to guide the standardised management of UIA of China based on the latest clinical evidence.

关 键 词：颅内动脉瘤 未破裂动脉瘤 影像 风险评估 介入治疗 开颅治疗 随访 

分 类 号：TU2[建筑科学—建筑设计及理论]