Intracranial aneurysm yog ib hom kab mob cerebrovascular hauv kev kho mob, uas feem ntau tshwm sim ntawm cov ceg tseem ceeb ntawm cov hlab ntsha basilar ntawm tus neeg mob. Thaum tus neeg mob muaj cov kab mob xws li kub siab, qhov aneurysm feem ntau yuav rupture, ua rau subarachnoid hemorrhage, uas ua phem rau tus neeg mob lub neej thiab kev noj qab haus huv. Yog li ntawd, cov neeg mob uas muaj intracranial aneurysms yuav tsum tau siv cov kev kho mob sai li sai tau los tswj qhov kev loj hlob ntawm tus kab mob. Tam sim no, txoj kev kho mob tseem ceeb yog clipping lossis cuam tshuam embolization.
Stent implantation assisted coil embolization yog ib qho cuab yeej tshiab rau kev kho mob cerebral aneurysms. Nws siv lub microcatheter tso cai rau lub kauj nkag mus rau hauv cov hlab ntsha los tsim cov thrombus, yog li txhim kho tus neeg mob tus mob. Nws muaj ntau yam zoo hauv kev kho mob intracranial aneurysms.
Piv nrog rau cov tsoos clipping, interventional embolization muaj zoo curative nyhuv thiab lub sij hawm ua hauj lwm luv. Kev phais clipping tsoos yuav tsum tau craniotomy ntawm cov neeg mob, uas yog ib qho nyuaj rau kev khiav hauj lwm thiab tsis tshua muaj kev ntsuam xyuas lub peev xwm ua hauj lwm ntawm tus kws kho mob uas tuaj koom, thiab muaj lub siab ntev rau kev phais tsis zoo. Tsis tas li ntawd, craniotomy ua rau muaj kev ntxhov siab loj hauv lub cev, thiab cov neeg mob yuav tsum tau mus pw hauv tsev kho mob ntev tom qab kev phais kom saib xyuas kev rov qab los ntawm ntau yam ntsuas ntawm lub cev. Interventional kev kho mob muaj me me incisions thiab tsuas yog ua nyob rau hauv tus neeg mob cov hlab ntsha. Tom qab tsim kom muaj kev nkag mus rau hauv cov hlab ntsha, ib lub catheter arterial thiab guidewire yog siv rau kev khiav hauj lwm, thiab ib lub kauj yog muab tso rau ntawm lub aneurysm los thaiv cov ntshav, zoo txo qhov kev pheej hmoo ntawm aneurysm rupture. Thaum cov ntshav dhau los ntawm qhov aneurysm, me me vortices yog tsim los txo tus nqi ntws thiab txo qhov siab hauv qhov aneurysm, yog li ua tiav cov kev kho mob zoo dua.
Stent implantation thiab coil embolization tsis tshua muaj kev cuam tshuam thiab tsuas yog ua nyob rau hauv tus neeg mob cov hlab ntsha uas siv cov cuab yeej xuas nrig ntaus, txo qis kev puas tsuaj rau cov ntaub so ntswg nyob ib puag ncig lub aneurysm thiab zam kev tsis zoo xws li hydrocephalus thiab cerebral vasospasm tom qab phais. Tsis tas li ntawd, cov kab sib chaws tsim los ntawm stent thiab coil thaum kho yog qhov tiaj tus, uas ua rau cov tshiab intima muaj zog thiab flatter tom qab kev phais, tsim lub hauv paus zoo rau kev loj hlob ntawm vascular endothelium, pab kho cov hlab ntsha ntawm cov hlab ntsha, thiab txo qhov kev pheej hmoo ntawm kev mob tom qab phais.
Hauv kev xaus, kev cuam tshuam kev kho mob ntawm intracranial aneurysm siv stent implantation pab los ntawm coil embolization yog qhov zoo dua, muaj lub sijhawm ua haujlwm luv dua, txhim kho cov neeg mob cov cim perioperative, muaj kev pheej hmoo tsawg dua ntawm cov teeb meem tom qab, thiab muaj kev nyab xeeb ntawm kev phais.