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多个未破裂的大脑动脉瘤的管理和结果:描述性队列分析

Oday Atallah^1,2, Khadeja Alrefaie³, Amr Badary⁴

¹Department of Neurosurgery, Evangelic Hospital Oldenburg, Carl von Ossietzky University Oldenburg, 26129 Oldenburg, Germany.

|September 27, 2025

概括

管理多个未破裂的大脑动脉瘤是复杂的. 剪切是常见的,但会出现神经缺陷等并发症,尽管大多数患者保持独立性.

科学领域:

神经外科神经外科
血管神经学血管神经学
放射学放射学是一门学科.

背景情况:

没有破裂的大脑动脉瘤由于破裂风险和下大脑关节出血而构成重大神经外科挑战.
增加多重动脉瘤的偶然检测需要定制的管理策略.
与治疗并发症平衡破裂风险对于患者的治疗结果至关重要.

研究的目的:

分析多个未破裂的大脑动脉瘤患者的特征,管理和结果.
确定动脉瘤特征,并发症和治疗后并发症之间的关联.
为这个患者队列提供关于临床特征和治疗策略的见解.

主要方法:

追溯分析41名患有101个未破裂的大脑动脉瘤的患者.
评估人口统计,动脉瘤大小/位置,治疗方式和临床结果.
描述性统计和相关性分析,以检查风险因素和并发症.

主要成果:

大多数动脉瘤都很小 (<10毫米,48.5%),位于中脑动脉分叉处 (27.7%).
高血压 (56.1%) 和吸烟 (53.7%) 是普遍存在的危险因素.
切割 (81.2%) 是最常见的干预措施; 41.4% 患有术后并发症, 36.6% 患有神经缺陷.

结论:

管理多个未破裂的大脑动脉瘤是具有挑战性的,因为不同的特征和患者的危险因素 (高血压,吸烟).
剪切是主要的干预措施,根据个案量身定制.
尽管有诸如血管和神经缺陷等并发症,但大多数患者保持了功能独立.

关键词:

大脑动脉瘤的发生.多个多个多个多个多个多个多个多个.治疗的结果.没有破裂的动脉瘤.

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