CAJ | 학술논문

目的探讨颅内动脉瘤患病的危险因素,无症状动脉瘤治疗方法的选择.方法回顾性分析649例颅内动脉瘤的临床资料,其中535例(82.4%)行动脉瘤蒂夹闭术,动脉瘤孤立术19例(2.9%),包裹术17例(2.6%),血管内治疗46例(7.1%),32例(5%)无症状病例未予特殊治疗,仅随诊.结果术后12例死亡,手术死亡率1.9%.动脉瘤的后天患病的危险因素包括高血压、女性、高龄、吸烟.结论动脉瘤的后天患病危险凶素包括高血压、女性、高龄以及吸烟.对于部分无症状动脉瘤无需治疗,随诊是其合适的选择.
목적 탐토로내동맥류환병적위험인소,무증상동맥류치료방법 적선택.방법 회고성분석649례로내동맥류적림상자료,기중535례(82.4%)행동맥류체협폐술,동맥류고립술19례(2.9%),포과술17례(2.6%),혈관내치료46례(7.1%),32례(5%)무증상병례미여특수치료,부수진.결과 술후12례사망,수술사망솔1.9%.동맥류적후천환병적위험인소포괄고혈압、녀성、고령、흡연.결론 동맥류적후천환병위험흉소포괄고혈압、녀성、고령이급흡연.대우부분무증상동맥류무수치료,수진시기합괄적선택.
Objective To explore risk factors for the development of intracranial aneurysms,and the selection of therapeutic methods for unruptured intracranial aneurysms. MethodWe retrospectively reviewed the data of the treatment of 649 patients, including clipping of aneurysm 535 cases (82. 4%), isolation of aneurysm 19 cases (2. 9%), and coating of the aneurysm 17 cases (2. 6%), endovascular treatment 46 cases (7. 1%) ,follow up symptomless patients 32 cases(5%). Results 12 cases died after operation, the overall operative mortality was 1.9%. We identified hypertension, female sex, advanced age, and smoking as significant risk factors for sporadic intracranial aneurysms. Conclusions Hypertension,female, sex, advanced age, and smoking are significant risk factors for sporadic intracranial aneurysms. Follow up is a good choice for some symptomless patients.