颅内动脉瘤血管内介入治疗的研究进展

Research Progress of Endovascular Interventional Therapy for Intracranial Aneurysm

摘要: 颅内动脉瘤(intracranial aneurysm, IA)近年来的发病率呈上升趋势，为常见的一类重症疾病，也是导致人体蛛网膜下腔出血的主要因素，脑血管疾病发病率仅次于高血压性脑出血和脑梗死，且多好发于女性，年龄越大，发病率越高。目前，颅内动脉瘤的治疗方法主要有血管内栓塞(intravascular embolization, IE)和开颅夹闭术(microsurgical clipping, MC)两种。随着栓塞技术的不断提高和栓塞材料的改良，IE使颅内动脉瘤的治疗由巨创进展到微创，由开颅到血管内治疗，变难治为易疗，但并不是说取代开颅夹闭术，而是与开颅手术夹闭术相辅相成，成为不可或缺的治疗方式。现将IE治疗IA的研究进展综述如下。

Abstract: In recent years, the incidence of intracranial aneurysm is on the rise, which is a common severe disease and the main factor leading to subarachnoid hemorrhage. The incidence of cerebrovascular disease is second only to hypertensive cerebral hemorrhage and cerebral infarction, and the older the female, the higher the incidence. At present, there are two main treatment methods for intracranial aneurysms: endovascular embolization and craniotomy. With the continuous improvement of embolization technology and the improvement of embolization materials, endovascular embolization has made the treatment of intracranial aneurysms progress from giant trauma to minimally invasive, from craniotomy to endovascular treatment, and changed from refractory to easy treatment. However, it is not to say that it replaces craniotomy, but complements craniotomy and becomes an indispensable treatment. The research progress of endovascular embolization for intracranial aneurysms is summarized as follows.