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在老年社会中治疗大脑动脉瘤的内血管线圈栓塞
Ryokichi Yagi1, Ryo Hiramatsu1, Hiroyuki Ohnishi2
1Department of Neurosurgery and Neuroendovascular surgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
Science progress
|September 1, 2025
概括
对于未破裂的大脑动脉瘤的老年患者来说,内血管线圈栓塞是安全有效的. 这项研究发现年轻患者的结果相似,尽管手术后的成像结果有所不同.
科学领域:
- 神经学
- 神经外科
- 干预性放射学
背景情况:
- 人口老龄化增加了脑动脉瘤的发生率.
- 在老年患者中,甲状腺下出血 (SAH) 的结果较差.
- 预防老年人脑动脉瘤的治疗至关重要.
研究的目的:
- 对老年患者脑动脉瘤进行内血管线圈栓塞的安全性和有效性进行评估.
- 为了比较经过线圈栓塞的老年患者和非老年患者的结果.
主要方法:
- 在2012年4月至2018年8月期间对252名患者 (264例动脉瘤) 进行了回顾性观察研究.
- 65岁以上的患者被定义为老年人;65岁以下的患者被定义为非老年人.
- 评估结果包括治疗成功,修改的兰金度数,重复手术和术后破裂.
主要成果:
- 没有破裂的动脉瘤的老年患者在手术后出现了较高的残留动脉瘤和DWI阳性斑点.
- 老人和非老年人之间没有观察到修改的兰金评分 (3- 5和6分),重新手术率或术后破裂的显著差异.
- 血管内线圈栓塞在不同年龄组中显示出可比的安全性和有效性.
结论:
- 血管内线栓塞是老年脑动脉瘤未破裂患者的安全有效治疗方法.
- 该程序为非老年患者提供了可比的功能结果和安全性.
- 这种方法对于在老年人群中管理未破裂的大脑动脉瘤至关重要.
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