摘要
目的探讨血管内栓塞治疗前交通动脉瘤的适应证和效果。方法回顾性分析经血管内栓塞治疗前交通动脉瘤61例的DSA影像、介入治疗及随诊结果。本组动脉瘤直径2.0-10.0mm,病情按Hunt-Hess分级Ⅰ级23例,Ⅱ级27例,Ⅲ级10例,Ⅳ级1例。结果均经DSA确诊后采用电解可脱式铂金螺旋圈,59例(59枚)前交通动脉瘤腔完全闭塞,2例(2枚)遗留少许残颈显影。经DSA随诊15例发现1例动脉瘤复发,改行手术治愈。无死亡病例及永久性并发症发生。结论采用电解可脱式铂金螺旋圈(GDC)栓塞是治疗前交通动脉瘤的一种微创、安全、有效的方法,尤其是动脉瘤破裂出血急性期栓塞可达到止血作用。大宗病例的远期随诊结果尚待进一步观察。
Objective To discuss the indications and efficacy of endovascular embolization for anterior communicating aneurysms. Methods The DSA images, interventional treatment and follow-up results of 61 cases that underwent endovascular embolization were analyzed retrospectively. The diameter of these intracranial anenrysms ranged from 2.0ram to 10.0ram,and the condition of patients （Hunt-Hess grade） were grade I in 23 cases, grade II in 27, grade Ill in 10 and grade IV in 1. Results All the cases were diagnosed by DSA and guglielmi detachable coils （GDC） were used for endovascular embolization in all the cases, including 59 cases of complete obliteration and 2 cases of incomplete obliteration of the anenrysms. Fifteen cases were followed-up, and 1 relapse aneurysm was found and cured by surgery. There was no died case and perpetual complication. Conclusion Endovascular embolization with GDC is a minimally invasive, safe and effective method for treating intracranial anenrysms. Especially in those whose anenrysm ruptured and bled, embolization could achieved the goal ofhemostasis. DSA is a reliable means for diagnosing intracranial aneurysms and checking up the result ofembolization for anterior communicating aneurysms. The treatment results are reliable at short-term follow up, but long-term outcome of a great number of patients will be investigated further.
出处
《中国微侵袭神经外科杂志》
CAS
2007年第6期254-256,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅内动脉瘤
栓塞
治疗性
intracranial aneurysm
embolization, therapeutic
作者简介
李生（1965-），男，黑龙江望奎县人，中国人民解放军总医院副主任医师。研究方向：脑和脊髓血管病的血管内治疗及研究。
