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Tingfu Zhang¹, Penghang Guo², Yanrui Cai¹

¹Weifang People's Hospital,Shandong Second medical university.

The Journal of craniofacial surgery

|August 4, 2025

概括

贝希特病 (BD) 患有内动脉瘤的患者需要谨慎管理. 这一案例突显了在炎症控制后,在BD患者中成功治疗多重脑动脉瘤的内血管治疗.

科学领域:

神经学神经学
血管外科血管外科
类风湿病学类风湿病学

背景情况:

内动脉瘤在贝塞特病 (BD) 中是罕见的,由于脆弱,炎症的血管壁,造成了严重的治疗挑战.
内动脉瘤的内血管技术已经确立,但它们在BD中的应用需要进一步的研究和临床经验.
与BD相关的动脉瘤通常会影响内脏血管,使得内卷入变得不那么常见,但具有关键性的表现.

研究的目的:

报告 Behçet 病患者多重内动脉瘤的成功内血管治疗.
在这个复杂的临床场景中评估支架辅助线圈栓塞的安全性和有效性.
强调手术前炎症控制在管理BD相关的内动脉瘤方面的重要性.

主要方法:

一名38岁的女性患有BD,出现头痛和视力障碍.
数字减去血管学 (DSA) 揭示了5个内动脉瘤.
在干预之前,系统性炎症是用葡萄糖皮质类药物和免疫抑制剂来控制的.
对于有症状的左中脑动脉动脉瘤,进行了支架辅助的线圈栓塞;其他患者被保守地观察.

主要成果:

患者的神经症状在术后完全消失.
在内血管干预期间或之后没有观察到任何并发症.
2个月后的随访显示出令人满意的结果和症状缓解.
经过治疗的动脉瘤显示成功封闭,没有复发.

结论:

适当的手术前免疫抑制对于管理BD相关的内动脉瘤至关重要.
有针对性的内血管干预,如支架辅助线圈栓塞,可以是一个安全有效的策略.
这种方法为患有BD和多重内动脉瘤的患者提供了可行的治疗选择.

关键词:

贝希特病是贝希特病的一种疾病.线圈栓塞线圈栓塞血管内干预是指血管内干预免疫抑制疗法是一种免疫抑制疗法.头骨内动脉瘤是什么意思

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