临床神经外科杂志2025，Vol.22Issue(2)：126-130,5.DOI:10.3969/j.issn.1672-7770.2025.02.002
颅内动脉瘤夹闭术后残留和复发的处理
Management of residual and recurrent intracranial aneurysms after clipping
摘要
Abstract
Objective To explore the characteristics of residual and recurrent intracranial aneurysms after clipping,as well as the difficulties and efficacy of re-treatment.Methods A total of 15 patients with intracranial residual and recurrent aneurysms after clipping admitted to Department of Neurosurgery,Leshan Geriatric Hospital from January 2014 to January 2024 were retrospectively analyzed and the relevant literature were reviewed.Results At the first postoperative follow-up,7 cases were found to be completely clipped and 8 cases showed small remnants.The shortest time from aneurysm clipping to recurrence was 1 month,and the longest was 20 years with an average of 50.5 months.The reasons for the retreatment of aneurysms included the recurrence and enlargement of aneurysms after complete clipping,as well as the progressive enlargement of residual aneurysms.Re-clipping was performed in 10 cases of recurrent aneurysms,2 of them suffered postoperative cerebral infarction.The remaining 5 patients with endovascular embolization recovered well.Conclusions The residual aneurysms have a higher risk of regrowth and rupture.As a result,they should be followed closely and regularly.Interventional embolization is a safe and effective treatment for recurrent aneurysms after clipping.For cases unsuitable for interventional embolization,surgical treatment needs to overcome the technical difficulties of reoperation and master various skills of vascular surgery.关键词
颅内动脉瘤/手术技巧/复发动脉瘤/残留动脉瘤Key words
intracranial aneurysm/operative technique/recurrent aneurysm/residual aneurysm分类
临床医学引用本文复制引用
谭道德,彭远林,张雨涛,阮庆,万虎,李昂,李进..颅内动脉瘤夹闭术后残留和复发的处理[J].临床神经外科杂志,2025,22(2):126-130,5.基金项目
四川省区域创新合作项目(2023YFQ0038) （2023YFQ0038）
