Ntawm LINNC Tuam Tshoj 2024 lub rooj sib tham, ntau tus kws kho mob mob siab rau tham txog kev kho mob ntawm aneurysms thiab cov teeb meem tshwm sim hauv cov tshuaj aneurysm. Cia peb saib.
I. Yuav xaiv qhov kev kho mob dab tsi rau qhov mob ntawm sab laug cerebral thrombotic aneurysm? Daim duab kho mob yog raws li nram no:
Professor Ye Ming los ntawm Xuanwu Tsev Kho Mob ntawm Capital Medical University:
Yog hais tias tus neeg mob tseem hluas, raws li kev soj ntsuam mus sij hawm ntev, craniotomy thiab clipping phais yuav nyiam dua. Yog tias tus neeg mob laus dua, kev kho mob endovascular yuav raug txiav txim siab, thiab kev kho mob embolization yuav ua rau qee qhov chaw txaus ntshai. Kev taw qhia cov ntshav ntws cov cuab yeej cog lus yuav tsis raug xaiv raws li txoj kev kho mob, vim tias muaj qee yam kev pheej hmoo ntawm kev cog cov ntshav ntws cov lus qhia ntawm no, thiab qhov txhab nyob ntawm sab laug. Thaum ib qho kev tshwm sim ischemic tshwm sim, nws tuaj yeem cuam tshuam rau tus neeg mob lub neej zoo.
Professor Moret los ntawm Fabkis:
Xav txog qhov kev cia siab ntev ntev, craniotomy thiab clipping phais tuaj yeem raug xaiv. Txawm li cas los xij, raws li cov txiaj ntsig ntawm kev tshawb fawb tam sim no, kev nyab xeeb thiab kev ua tau zoo ntawm kev cog cov ntshav ntws qhia cov cuab yeej los kho aneurysms ntawm bifurcation ntawm nruab nrab cerebral hlab ntsha tau raug txheeb xyuas rau qee yam, thiab nws kuj yog ib qho kev kho mob. kev xaiv.
Professor Victor los ntawm St' Michael's Hospital:
Txawm hais tias txoj kev kho mob ntawm cov ntshav khiav taw qhia cov cuab yeej implantation muaj kev pheej hmoo ntawm ischemia, nws yog qhov tsis lees paub tias qhov kev phais ntawm cov hlab ntsha no tseem muaj cov teeb meem thiab kev pheej hmoo. Tej zaum kuv yuav nyiam xaiv stent-pab embolization rau kev kho mob.
II. Rau aneurysms uas tseem pom tom qab WEB phais, lawv puas xav tau kev kho mob?
Professor Spell los ntawm Fabkis:
Nws raug pom zoo kom ua tiav Dyna CT ua ntej. Yog hais tias cov duab ntawm cov aneurysm nyob rau hauv lub aneurysm, qhov kev pheej hmoo ntawm aneurysm rupture thiab los ntshav yog tsawg, thiab koj muaj peev xwm mus txuas ntxiv tos ib pliag los soj ntsuam cov aneurysm occlusion. Yog hais tias cov duab ntawm qhov aneurysm nyob sab nraum lub aneurysm, yuav tsum tau kho dua tshiab.
Xib Fwb Guan Sheng los ntawm Thawj Tsev Kho Mob ntawm Zhengzhou University:
Nws yog ib qho tsim nyog yuav tau xyuam xim rau kev siv cov tshuaj antiplatelet hauv cov neeg mob. Qee cov neeg mob yuav noj cov tshuaj tiv thaiv kab mob monoclonal tom qab WEB phais. Yog tias qhov kev rov kuaj xyuas dua thaum lub sijhawm siv tshuaj tas mus li qhia tau hais tias qhov aneurysm tseem pom, cov tshuaj antiplatelet tuaj yeem raug txiav tawm thiab kev soj ntsuam tuaj yeem txuas ntxiv mus rau lub sijhawm. Rau cov xwm txheej uas qee qhov pom tau nyob sab nraum WEB, occlusion kuj tuaj yeem tshwm sim tom qab txiav cov tshuaj antiplatelet.