摘要
目的分析破裂前交通动脉瘤介入治疗、适应症方法和临床效果.方法采用可解脱弹簧圈对47例破裂前交通动脉瘤进行栓塞治疗.结果痊愈46例,自动出院1例,致密栓塞39例,大部栓塞8例,支架辅助1例.术后随访38例,随访时间3个月～1.5 a,随访期间无再出血病例.结论前交通动脉瘤的弹簧圈栓塞治疗是一种微创、安全、有效的方法,其远期效果需进一步长期随访.
Objective To investigate the strategies, indications and clinical efficacy of interventional treatment on ruptured anterior communication artery. Method 47 consecutively admitted patients with aneurysm subarachnoid hemorrhage （SAH） following anterior communication artery （Acorn A） detachable coils. Results 46 patients were cured and 1 patient was discharged by himself. aneurysm treated by Complete occlusion of the aneurysm was achieved in 39 patients, near-complete in 8 patients, and stent-assisted coiling in 1 patient. Patients were followed up for 3 months to 1.5 years, and no rebleeding occured. Conclusion Ruptured Acom A aneurysms are implicated in majority of cases of SAH and endovascular coiling of ruptured intracranial aneurysms is an efficient procedure, but the long-term effect needs luther investigation.
出处
《昆明医学院学报》
2012年第1期98-100,共3页
Journal of Kunming Medical College
关键词
血管内治疗
蛛网膜下腔出血
前交通动脉瘤
Endovascular treatment
Subarachnoid hemorrhage
Anterior ocmmunication artery aneurysm
作者简介
路华（1974-），男，江苏沭阳县人，医学博士，副教授，主要从事从事神经外科临床工作．
