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Medical Diagnosis 2021
颅内未破裂微小动脉瘤的研究进展
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Abstract:
未破裂颅内微小动脉瘤(mini unruptured intracranial aneurysms, mUIAs)是指直径 ≤ 3 mm的颅内未破裂动脉瘤(unruptured intracranial aneurysms, UIAs)。目前对mUIAs的管理没有明确的指南。预防性手术干预可避免mUIAs自然破裂出血所造成的灾难性后果，但绝大部分mUIAs不会破裂。且目前无论采用哪种手术方式干预均非绝对安全。现对近年来关于mUIAs的文献进行综述，根据mUIAs的自然史、流行病学以及各种治疗方案的优劣势，来评估mUIAs是否需要手术干预。
Mini unruptured intracranial aneurysms (mUIAs) refer to unruptured intracranial aneurysms (UIAs) with a diameter ≤ 3 mm. There are no clear guidelines for the management of mUIAs. Prophylactic surgical intervention can avoid the catastrophic consequences of natural rupture hemorrhage of mUIAs, but most of mUIAs will not rupture. At present, no matter what kind of surgical treatment is not absolutely safe. This paper reviews the literature on mUIAs in recent years, and according to the natural history, epidemiology, and the advantages and disadvantages of various treatment options of mUIAs, evaluates whether mUIAs require surgical intervention.
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