CAJ | 학술논문

目的观察可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤后的近期及远期疗效.方法对41例用可膨胀水凝胶弹簧圈栓塞的颅内动脉瘤(45个)患者进行随访,随访时间6～24个月,采用脑血管造影、CT脑血管成像、磁共振脑血管成像方法,了解颅内动脉瘤复发及并发症情况.结果 41例中复发1例,死亡1例.术后并发脑梗死3例,动眼神经麻痹1例,脑积水2例.改良Rankin评分量表评为0级8例,1级19例,2级7例,3级3例,4级2例,5级和6级各1例.结论可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤安全有效,对闭塞载瘤动脉有独特优势.处理小动脉瘤(<5mm)时会有较高的并发症,栓塞时要谨慎.
목적 관찰가팽창수응효탄황권전새치료로내동맥류후적근기급원기료효.방법 대41례용가팽창수응효탄황권전새적로내동맥류(45개)환자진행수방,수방시간6～24개월,채용뇌혈관조영、CT뇌혈관성상、자공진뇌혈관성상방법,료해로내동맥류복발급병발증정황.결과 41례중복발1례,사망1례.술후병발뇌경사3례,동안신경마비1례,뇌적수2례.개량Rankin평분량표평위0급8례,1급19례,2급7례,3급3례,4급2례,5급화6급각1례.결론 가팽창수응효탄황권전새치료로내동맥류안전유효,대폐새재류동맥유독특우세.처리소동맥류(<5mm)시회유교고적병발증,전새시요근신.
Objective To study the short-term and long-term effectiveness of intracranial aneurysm occlusion with expandable hydrocoil. Methods Forty-one patients with intracranial aneurysms (n=45) were treated by endovascular occlusion with expandable hydrocoil. Follow-up interviews in the forms of DSA, CTA or MRA were conducted to the 41 patients within 6-24 months after the treatment to find out the tumor recurrence and complications. Results In the 41 patients, 1 died, 1 suffered from recurrence, 3 developed cerebral infarction, 1 got oculomotor paralysis, 2 got hydrocephalus. According to modified Rankin scale, grade 0 in 8 cases, grade 1 in 19, grade 2 in 7, grade 3 in 3, grade 4 in 2, grade 5 in 1 and grade 6 in 1. Conclusions Endovascular embolization with expandable hydrocoil is an effective treatment method for intracranial aneurysms, especially for parent artery occlusion, but it may be able to cause more complications in the treatment of small aneurysms (＜5mm), so the caution should be taken.