岭南现代临床外科
嶺南現代臨床外科
령남현대림상외과
LINGNAN MODERN CLINICS IN SURGERY
2014年
3期
331-334
,共4页
多发动脉瘤%蛛网膜下腔出血%流行病学%责任动脉瘤%诊断%治疗
多髮動脈瘤%蛛網膜下腔齣血%流行病學%責任動脈瘤%診斷%治療
다발동맥류%주망막하강출혈%류행병학%책임동맥류%진단%치료
Multiple intracranial aneurysms%Subarachnoid hemorrhage%Epidemiology%Ruptured aneurysm%Diagnosis%Treatment
随着脑血管成像技术的广泛应用及不断提高，动脉瘤性蛛网膜下腔出血患者中多发动脉瘤检出率越来越高。研究表明既往有蛛网膜下腔出血病史患者的未破裂动脉瘤破裂风险要高于无蛛网膜下腔出血病史者，对于发生动脉瘤破裂的多发动脉瘤患者除明确责任动脉瘤并首先处理外，其未破裂动脉瘤也应尽量检出并积极治疗，因此多发动脉瘤的诊断和治疗均要比单发动脉瘤复杂。
隨著腦血管成像技術的廣汎應用及不斷提高，動脈瘤性蛛網膜下腔齣血患者中多髮動脈瘤檢齣率越來越高。研究錶明既往有蛛網膜下腔齣血病史患者的未破裂動脈瘤破裂風險要高于無蛛網膜下腔齣血病史者，對于髮生動脈瘤破裂的多髮動脈瘤患者除明確責任動脈瘤併首先處理外，其未破裂動脈瘤也應儘量檢齣併積極治療，因此多髮動脈瘤的診斷和治療均要比單髮動脈瘤複雜。
수착뇌혈관성상기술적엄범응용급불단제고，동맥류성주망막하강출혈환자중다발동맥류검출솔월래월고。연구표명기왕유주망막하강출혈병사환자적미파렬동맥류파렬풍험요고우무주망막하강출혈병사자，대우발생동맥류파렬적다발동맥류환자제명학책임동맥류병수선처리외，기미파렬동맥류야응진량검출병적겁치료，인차다발동맥류적진단화치료균요비단발동맥류복잡。
With the wider availability and continuous advances of imaging techniques , the increasing numbers of multiple intracranial aneurysms are detected in patients with aneurysmal subarachnoid hemorrhage. Studies have shown that unruptured aneurysms in patients with previous subara-chnoid hemorrhage have higher rupture risk than those without previous subarachnoid hemorrhage. For patients with multiple intracranial aneurysms presenting with subarachnoid hemorrhage , in addition to the ruptured aneurysms are identified and dealt with first , the unruptured aneurysms should be detected and treated aggressively. Therefore, the diagnosis and treatment of multiple intracranial aneurysms are more difficult than those of single ones.
