...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Neurologia medico-chirurgica. >Unruptured intracranial aneurysms: current perspectives on the origin and natural course, and quest for standards in the management strategy.
【24h】

Unruptured intracranial aneurysms: current perspectives on the origin and natural course, and quest for standards in the management strategy.

机译：颅内动脉瘤不破裂：目前对起源和自然病程的看法，以及对管理策略的追求。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Unruptured intracranial aneurysms are relatively common, and can cause subarachnoid hemorrhage. Management of unruptured intracranial aneurysms requires knowledge of the natural course and management risks of individual aneurysms. Current knowledge on the natural course and management risks is summarized and our current management strategy presented. Extensive literature review was conducted to identify risk factors influencing the natural course and management outcome of unruptured intracranial aneurysms. Our consecutive surgical series from October 2006 through June 2009 were reviewed retrospectively. The risk factors for rupture were size and location, as well as history of subarachnoid hemorrhage in small aneurysms. Management morbidity was significantly influenced by the size, location, and patient's age. Since 2006, we have monitored motor evoked potentials in all surgeries of cerebral aneurysms and utilized endoscope control, and skull base and bypass techniques in selected cases. In 133 consecutive surgeries, two patients (1.5%) suffered severe neurological morbidity. Unruptured intracranial aneurysms have various clinical characteristics and we need to stratify management strategy according to the aneurysm features such as size, location, shape, and patient's clinical status. In Japan, with national efforts to elevate management standards, morbidity associated with the treatment of the unruptured intracranial aneurysms is relatively low. To improve future care further, we need to continue seeking better and less invasive management modalities and technique.
机译：颅内动脉瘤未破裂相对较常见，可引起蛛网膜下腔出血。颅内动脉瘤破裂的管理需要了解自然过程和单个动脉瘤的管理风险。总结了有关自然过程和管理风险的当前知识，并提出了我们当前的管理策略。进行了广泛的文献综述，以发现影响颅内动脉瘤破裂的自然过程和治疗结果的危险因素。回顾性分析了我们从2006年10月至2009年6月连续进行的外科手术系列。破裂的危险因素是大小和位置，以及小动脉瘤中蛛网膜下腔出血的病史。管理发病率受大小，位置和患者年龄的显着影响。自2006年以来，我们已在所有脑动脉瘤手术中监测了运动诱发电位，并在某些情况下利用了内窥镜控制以及颅底和旁路技术。在连续的133次手术中，有2名患者（1.5％）患有严重的神经系统疾病。颅内动脉瘤的破裂具有多种临床特征，我们需要根据动脉瘤的大小，位置，形状和患者的临床状况等特征对治疗策略进行分层。在日本，随着国家努力提高管理水平，与未破裂的颅内动脉瘤的治疗相关的发病率相对较低。为了进一步改善未来的护理，我们需要继续寻求更好和更少侵入性的管理方式和技术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号