Research progress on the related risk factors and surgical treatment for the civil pilots with unruptured intracranial aneurysm
10.3760/cma.j.issn.1007-6239.2017.03.021
- VernacularTitle:民航飞行员颅内未破裂动脉瘤的相关危险因素及外科干预研究进展
- Author:
Anlin ZHU
1
;
Cheng LIN
;
Qing WANG
;
Jian YANG
;
Gang WAN
;
Songlin LI
Author Information
1. 民航总医院神经外科,北京,100123
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Risk factors;
Surgical procedures,operative;
Civil pilots
- From:
Chinese Journal of Aerospace Medicine
2017;28(3):235-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the classification,the related risk factors and surgical intervention of unruptured intracranial aneurysms (UIA) upon the cases at home and aboard and to guide the treatment and physical examination assessment principle for China's civil aviation pilots.Literature resource and selection The related articles published at home and abroad.Literature quotation Nineteen published references were cited.Literature synthesis Intracranial aneurysm was a common cause of idiopathic subarachnoid hemorrhage.But the definite pathogenesis and impact factors were not clear.Modern epidemiological studies have shown that UIA and ruptured aneurysm had completely different course of the disease,treatment and prognosis.In recent years,either the incidence or prevalence of UIA has shown increased trend.The widely used imaging technology has improved the diagnosis for UIA.UIA could be classified into 3 types:①accidental asymptomatic aneurysm;② UIA manifested as occupying,uncomfortable or infarcted symptoms;③unruptured aneurysms of intracranial multiple aneurysms,which was found due to the subarachnoid hemorrhage.Related risk factors of UIA rupture included..diameter of aneurysm,location of occurrence,hypertension,age of onset,race and gender difference,formation time,etc..Conclusions The impact factors and the surgical choice are not the same in different population.The principles of UIA surgical intervention for civil pilots are as follows:①aneurysm with the diameter ＞5 mm.②if aneurysm diameter ≤5 mm,the treatment should be decided in accordance with the symptoms,occurrence location,body/neck ratio,etc..
