西藏地区脑动脉瘤的临床特点  

Clinical characteristics of cerebral aneurysms in Tibet

作　　者：勿里九奇 曹旭东[1] 仁增[1] 翁宇[1] 吴文博[1] 刘焕东[1] 扎多[1] 多吉玉杰[1] 吾金 王斌[3] 吴科学[1] 王栋梁[3] WULI Jiu-qi;CAO Xu-dong;REN Zeng;WU Ke-xue;WANG Dong-liang(Department of Neurosurgery,Tibet Autonomous Region People s Hospital,Lhasa 850000,China;不详)

机构地区：[1]西藏自治区人民医院神经外科,拉萨850000 [2]西藏大学医学院 [3]北京大学人民医院神经外科

出　　处：《临床神经外科杂志》2023年第1期89-93,共5页Journal of Clinical Neurosurgery

基　　金：西藏自治区自然科学基金组团式援藏基金项目[XZ2019ZR-ZY07(Z),XZ2022ZR-ZY02(Z)]。

摘　　要：目的 总结西藏地区脑动脉瘤患者的临床资料及动脉瘤的特性。方法 回顾性分析2019年1月—2021年12月西藏自治区人民医院神经外科收治的324例脑动脉瘤患者的临床资料,包括性别、年龄、民族、高血压史、吸烟史、饮酒史、糖尿病史、是否破裂、Hunt-Hess评分、治疗方式和动脉瘤的特性(位置、大小、形态、数目)。结果 324例患者中,女性占71.6%;平均年龄(50.74±10.04)岁;藏族占98.46%;高血压史64.2%;吸烟史10.08%;饮酒史73.1%;糖尿病史4%;高血红蛋白血症占35.2%;破裂患者占81.8%;Hunt-HessⅡ级及以上占79.3%;19.5%行开颅夹闭,40.7%行介入治疗,39.8%保守治疗;共发现动脉瘤413个,小动脉瘤和一般动脉瘤有404个(97.8%);血泡动脉瘤占13.3%;多发动脉瘤(≥2)占21.0%。结论 西藏地区脑动脉瘤患者女性多见,呈年轻化趋势,破裂较多,病情较重,血泡及多发动脉瘤占比较高。Objective To summarize the clinical characteristics of cerebral aneurysms(CA) in Tibet. Methods The clinical data of 324 patients with CA admitted to the Department of Neurosurgery, Tibet Autonomous Region People’s Hospital from January 2019 to December 2021 were analyzed retrospectively, including gender, age, nationality, history of hypertension, smoking, drinking, history of diabetes, rupture, Hunt-Hess score, treatment methods and characteristics(location, size, shape, number) of aneurysms. Results Of the 324 patients, 71.6% were women. The average age was(50.74±10.04) years old. Tibetan accounted for 98.46%. The history of hypertension was 64.2%, history of smoking 10.08%, history of drinking 73.1%. History of diabetes accounted for 4%. Hyperhemoglobinemia accounted for 35.2%. 81.8% of the patients were ruptured. Hunt-Hess Ⅱ and above accounted for 79.3%. 19.5% underwent craniotomy and clipping, 40.7% interventional treatment, and 39.8% conservative treatment. A total of 413 aneurysms were found, including 404(97.8%) small aneurysms and general aneurysms. Blood blister-like aneurysms accounted for 13.3%. Multiple aneurysms(≥2) accounted for 21.0%. Conclusions CA are more common in women in Tibet, showing a younger trend, with more ruptures and severe disease. The proportion of blood blister-like aneurysms and multiple aneurysms is relatively high.

关 键 词：西藏地区 脑动脉瘤 血泡样动脉瘤 

分 类 号：R651[医药卫生—外科学]