[1]姜世豪,李映婷,买买提力·艾沙,等.儿童颅内动脉瘤的临床特点与治疗分析[J].中国临床神经外科杂志,2023,28(06):353-357.[doi:10.13798/j.issn.1009-153X.2023.06.001]
　JIANG Shi-hao,LI Ying-ting,MAIMAITILI Aisha,et al.Clinical characteristics and treatment of intracranial aneurysms in children[J].,2023,28(06):353-357.[doi:10.13798/j.issn.1009-153X.2023.06.001]
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儿童颅内动脉瘤的临床特点与治疗分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
28
期数:
2023年06期
页码:
353-357
栏目:
论著
出版日期:
2023-06-30

文章信息/Info

Title:
Clinical characteristics and treatment of intracranial aneurysms in children
文章编号:
1009-153X（2023）06-0353-05
作者:
姜世豪; 李映婷; 买买提力·艾沙; 麦麦提亚生·麦麦提吐尔逊; 艾孜买提江·吐尔逊; 苏日青; 卡合尔曼·卡德尔; 成晓江
830054乌鲁木齐，新疆医科大学第一附属医院神经外科中心（姜世豪、买买提力·艾沙、麦麦提亚生·麦麦提吐尔逊、艾孜买提江·吐尔逊、苏日青、卡合尔曼·卡德尔、成晓江），介入治疗中心（李映婷）
Author(s):
JIANG Shi-hao1;  LI Ying-ting2;  MAIMAITILI Aisha1;  MAIMAITIYASHENG Maimaitituerxun1;  AIZIMAITIJIANG Tuerxun1;  SU Ri-qing1;  KAHEERMAN Kadeer1;  CHENG Xiao-jiang1
1. Department of Neurosurgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China; 2. Interventional Therapy Centre, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
关键词:
颅内动脉瘤; 小儿; 动脉瘤夹闭术; 血管内治疗; 临床特征; 疗效
Keywords:
Intracranial aneurysms;  Children;  Aneurysmal clipping;  Endovascular therapy;  Clinical features;  Clinical efficacy
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2023.06.001
文献标志码:
R 749.3; R 651.1+2
摘要:
目的 探讨儿童颅内动脉瘤的临床特点、治疗方法及其疗效。方法 回顾性分析2012年1月至 2023年1月收治的33例小儿颅内动脉瘤的临床资料。结果 年龄6~17岁，平均（13.7±15.1）岁。33例共35枚动脉瘤，其中前循环26枚，后循环9枚；26例呈急性发病，合并蛛网膜下腔出血17例、脑内血肿8例、血肿破入脑室3例、脑积水1例。12例采取动脉瘤夹闭术，术后6个月mRS评分0~1分10例，2分1例，3分1例。7例选择血管内治疗，术后6个月mRS评分0~1分。3例巨大、夹层动脉瘤行颅外-颅内动脉分流术，术后6个月mRS评分0、1、2分各1例。10例选择保守治疗，6个月随访期内未新发卒中事件。1例放弃治疗，自动出院1周后死亡。结论 儿童颅内动脉瘤以男性多见，后循环动脉瘤占比高，临床症状多样；治疗上，建议首选动脉瘤夹闭术，对后循环动脉瘤及巨大、夹层动脉瘤，则可以选择血管内治疗或颅外-颅内动脉分流术。
Abstract:
Objective To investigate the clinical features, and treatment methods and outcomes of intracranial aneurysms in children. Methods The clinical data of 33 children with intracranial aneurysms who were admitted to our hospital from January 2012 to January 2023 were retrospectively analyzed. Results The average age was (13.7±15.1) years, ranging from 6 to 17 years. There were 35 aneurysms in 33 patients, including 26 aneurysms in anterior circulation and 9 aneurysms in posterior circulation. Of 26 patients with acute onset, 17 had subarachnoid hemorrhage, 8 intracerebral hematoma, 3 hematoma braking into the ventricle, and 1 hydrocephalus. A mRS score of 0~1 was achieved in 10 children and a score of 2~3 in 2 children of 12 children receiving aneurysmal clipping at 6 months after surgery. A mRS score of 0~1 was achieved in 7 children receiving endovascular treatment at 6 months after operation. A mRS score of 0, 1, and 2 was achieved in 3 childred with large or dissected aneurysms receiveing extra-intra cranial bypass at 6 months after operation, respectively. No new stroke occurred in 10 patients recieving conservative treatment during the 6-month follow-up. One case gave up treatment and died 1 week after discharge. Conclusions Pediatric intracranial aneurysms are more common in male children, with a higher proportion of posterior circulation aneurysms and diverse clinical symptoms. Aneurysmal clipping is recommended as the first choice, and endovascular treatment or extra-intra cranial bypass can be selected for posterior circulation aneurysms,giant aneurysms or dissecting aneurysms.

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备注/Memo

备注/Memo:
（2023-03-21收稿，2023-05-24修回）
基金项目：省部共建中亚高发病成因与防治国家重点实验室开放课题（SKL-HIDCA-2022-NKX4）
通讯作者：成晓江，E-mail：cxj711122@126.com
更新日期/Last Update: 2022-06-30