颅内动脉瘤非急性期的外科治疗现状及进展

Status and Progress of the Surgical Treatment of Intracranial Aneurysms during Non-Acute Phase

颅内动脉瘤破裂表现为蛛网膜下腔出血,瘤体大于7mm可出现神经压迫症状,根据颅内动脉瘤破裂发生时间将其分为急性期和非急性期.非急性期外科治疗采用开颅手术夹闭动脉瘤蒂的治疗方式,但随着介入技术和材料的发展,很多医疗机构已将血管内栓塞治疗颅内动脉瘤作为首选治疗方式.这两种方法治疗颅内动脉瘤非急性期的效果仍存在争议.现通过查阅近年来国内外文献,对颅内动脉瘤非极性期外科治疗现状和研究进展作一综述.

Ruptured intracranial aneurysms shows symptoms of subarachnoid hemorrhage. When aneurysms is larger than 7 ram, the nerve compression symptoms may occur. Based on the rupture time of intracranial aneurysm, it can be divided into acute and non-acute phase. The surgical treatment often applies craniotomy and clipping aneurysm pedi- cle to treat non-acute phase aneurysms, howerer, with the development of interventional techniques and materials, many medical institutions have been using intravascular embolization treatment as the preferred treatment method, but the effect of these two methods in the treatment of non-acute phase intracranial aneurysms still in dispute. The author reviews the status and progress of surgical treatment of intracranial aneurysms during non-acute phase through consult- ing recent literature at home and abroad.