CAJ | 학술논문

目的报告16例瘤壁有钙化的颅内动脉瘤病例的治疗,分析颅内血管钙化与颅内动脉瘤病理发生机制的关系.方法回顾性分析16例瘤壁有钙化的颅内动脉瘤病例的影像学、临床资料及手术治疗.结果瘤壁有钙化的颅内动脉瘤的位置是:3例位于后交通动脉,2例位于大脑中动脉,2例位于前交通动脉,5例位于椎动脉,4例位于基底动脉.所有患者血钙、磷酸盐、血糖、肾功能正常.6例患者血脂增高.16例患者均行动脉瘤夹闭术,其中8例术中切除动脉瘤,治疗效果良好.结论动脉瘤瘤壁钙化与其病理发生机制有关,常见于巨大或大动脉瘤,瘤壁血管钙化是与动脉粥样硬化、血钙、磷酸盐、血脂、甲状腺、甲状旁腺等因素有关的主动耗能,多因素调控的病理过程.
목적보고16례류벽유개화적로내동맥류병례적치료,분석로내혈관개화여로내동맥류병리발생궤제적관계.방법회고성분석16례류벽유개화적로내동맥류병례적영상학、림상자료급수술치료.결과류벽유개화적로내동맥류적위치시:3례위우후교통동맥,2례위우대뇌중동맥,2례위우전교통동맥,5례위우추동맥,4례위우기저동맥.소유환자혈개、린산염、혈당、신공능정상.6례환자혈지증고.16례환자균행동맥류협폐술,기중8례술중절제동맥류,치료효과량호.결론동맥류류벽개화여기병리발생궤제유관,상견우거대혹대동맥류,류벽혈관개화시여동맥죽양경화、혈개、린산염、혈지、갑상선、갑상방선등인소유관적주동모능,다인소조공적병리과정.
Objective To report 16 cases of intracranial aneurysms with calcified vascular wall and study the relationship between vascular calcification and pathogenic mechanism of intracranial aneurysms.Methods Spiral CT scan,clinical data and serum calcium,phosphate,glucose,lipid,renal function of the 16 patients were studied in retrospect.All aneurysms were clipped,in which 8 were resected after clipping.Results The location of aneurysms with aneurismal wall calcification was,on posterior communicating artery in 3,on middle cerebral artery in 2,on anterior communicating artery in 2,on basilar artery in 5 and on basilar artery in 4 .All patients showed normal serum calcium,phosphate,glucose and normal renal function.Serum lipid of patients had been elevated.All patients recovered with no significant neurological deficits.Conclusion Intracranial vascular calcification is an active and regulated process in close relation to atherosclerosis,serum calcium,phosphate,lipid,thyroid,parathyroid function and other factors.Intracranial vascular calcification has close relationship with the pathogenesis and management of intracranial aneurysms.