颅内串联动脉瘤的治疗进展  

Advances in the treatment of tandem intracranial aneurysms

作　　者：姚坤 魏恒 田其[1] 高文宏[3] 李明昌[1] YAO Kun;WEI Heng;TIAN Qi;GAO Wenhong;LI Mingchang(Department of Neurosurgery,Remin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院神经外科,武汉430060 [2]武汉大学人民医院神经内科,武汉430060 [3]荆州市中心医院神经外科

出　　处：《临床神经外科杂志》2024年第6期702-706,共5页Journal of Clinical Neurosurgery

基　　金：国家自然科学基金面上项目(82172173)。

摘　　要：颅内串联动脉瘤是一种少见的脑血管疾病,各动脉瘤之间血流动力学特点相互影响,使手术治疗面临巨大的风险与挑战。目前颅内串联动脉瘤的病因学和血流动力学特点不明,国内外对于该疾病的治疗尚无统一标准,在手术原则的把握上更是因人而异。尽管血管内介入治疗是目前的主要治疗方式,但开颅手术在某些特定情况下仍是不应忽视的选择。为改善患者的预后和生活质量,提供合适的治疗方案,未来仍需对颅内串联动脉瘤的发病机制和血流动力学特点进一步探究。Intracranial tandem aneurysms are rare cerebrovascular lesions.The hemodynamic characteristics of each aneurysm of this lesion will interact with one another,which leads to great risks and challenges in surgical treatment of this disease.The etiology and hemodynamic characteristics of intracranial tandem aneurysms remains unclear.At present,there are no standards for the treatment of this lesion at home and abroad,and it is very dangerous for different medical centers to follow different surgical principles.Although endovascular therapy is currently the main method of managing such lesions,neurosurgical management can be an option that should not be ignored in some specific cases.To improve the prognosis and provide appropriate treatment choices for the patients with this lesion,the pathogenesis and hemodynamic characteristics of tandem intracranial aneurysms need to be further investigated in the future.

关 键 词：颅内串联动脉瘤 血流动力学 手术治疗 手术原则 

分 类 号：R743[医药卫生—神经病学与精神病学]