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破裂的中脑动脉动脉瘤治疗与初级卷曲相比剪切:一个比较的元分析

Wei Jun Lee¹, Rafaela Correia Maciel², Tam Qm Tran³

¹Department of Neurology, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.

Clinical neurology and neurosurgery

|February 27, 2026

概括

微手术剪切和内血管卷曲为破裂的中脑动脉动脉瘤提供了类似的功能结果. 然而,剪切显示出更高的完整动脉瘤闭塞率,这表明需要进一步研究先进的卷积技术.

科学领域:

神经外科神经外科
干预神经病学干预神经病学
血管神经学血管神经学

背景情况:

内动脉瘤越来越多地通过内血管卷积来管理,从传统的微手术剪切转向了传统的微手术剪切.
中脑动脉破裂 (MCA) 动脉瘤的最佳治疗策略仍然是争论的主题.
这项研究通过比较MCA动脉瘤破裂的卷轴和剪切来解决这一争议.

研究的目的:

系统地审查和对MCA动脉瘤破裂的放射和临床结果进行元分析,这些动脉瘤经过初级卷轴治疗而不是微手术剪切.
为了比较两个治疗方式之间的功能结果 (mRS分数) 和动脉瘤闭塞率.
为破裂MCA动脉瘤的首选治疗策略提供基于证据的见解.

主要方法:

在PubMed,Embase和Cochrane数据库中进行了广泛的文献搜索,截至2025年8月.
主要结局包括在出院和长期随访时修改的兰金尺度 (mRS) 评分.
二次结果是术后/出院和长期动脉瘤闭塞率;使用随机效应模型计算了聚合风险比率 (RRs).

主要成果:

分析包括5项研究,涉及984名患者 (449名卷曲,535名剪切).
在放电时卷轴和剪切 (RR: 1.04) 和长期随访 (RR: 1.07) 之间没有观察到良好的功能结果 (mRS 0-2) 的显著差异.
内血管卷积与出院时完全动脉瘤封闭率显著降低 (RR:0.66) 和长期随访 (RR:0.76).

结论:

微手术剪切和初级内血管卷圈在破裂的MCA动脉瘤中产生了相似的功能结果.
微手术剪切与卷曲相比,与更高的完整动脉瘤封闭率有关.
用更大的队列,前性数据和当代内血管技术进行进一步的研究是有必要的,以改进治疗策略.

关键词:

剪切剪切剪切剪切卷轴的卷轴是指卷轴上的卷轴.内动脉瘤是一个内动脉瘤.中脑动脉中脑动脉破裂的破裂的破裂的

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