CAJ | 학술논문

目的探讨早期电解可脱性弹簧罔血管内栓塞颅内破裂动脉瘤的临床疗效及应用价值. 方法回顾性分析急诊用电解町脱性弹簧圈血管内栓塞治疗颅内破裂动脉瘤208例患者的临床资料. 结果成功栓塞208例220个颅内动脉瘤.完全栓塞(>95%)128个,大部分栓塞(80%-95%)80个,部分栓塞(<79%)12个.并发动脉瘤破裂2例.1例痊愈,1例死亡;并发脑梗死5例,局部溶栓后遗留偏瘫和单瘫;3例弹簧圈末端遗留于动脉瘤外的载瘤动脉内.经抗凝治疗未发生并发症.12例复发再次栓塞后治愈. 结论早期电解可脱性弹簧圈血管内栓塞治疗颅内破裂动脉瘤是一种较为安全、可靠、有效的治疗方法.
목적 탐토조기전해가탈성탄황망혈관내전새로내파렬동맥류적림상료효급응용개치. 방법 회고성분석급진용전해정탈성탄황권혈관내전새치료로내파렬동맥류208례환자적림상자료. 결과 성공전새208례220개로내동맥류.완전전새(>95%)128개,대부분전새(80%-95%)80개,부분전새(<79%)12개.병발동맥류파렬2례.1례전유,1례사망;병발뇌경사5례,국부용전후유류편탄화단탄;3례탄황권말단유류우동맥류외적재류동맥내.경항응치료미발생병발증.12례복발재차전새후치유. 결론 조기전해가탈성탄황권혈관내전새치료로내파렬동맥류시일충교위안전、가고、유효적치료방법.
Objective To evaluate the therapeutic effect of endovascular embolization using Guglielmi detachable coils(GDCs)or electrolytically detachable coils(EDCs)for early treatment of ruptured intracranial aneurysms. Methods A total of 208 patients with 220 intraeranial aneurysms were treated in the emergency setting using GDCs or EDCs after aneurysm rupture. Results All the 220 aneurysms were successfully embelized with the detachable coils.Complete embolization(>95%)of the aneurysms was achieved in 128 of the 220 eases,and 80%-95%embolization in 80 cases,with the other 12 having an partial embolization less than 79%.Aneurysm rupture occurred in 2 patients during the embolization procedure,one of which was cured and the other died.Five patients sustained cerebral infarction,resulting in permanent hemiplegia or monoplegia after local thrombolytic therapy.In 3 cases,a small portion of the coil remained in the parent artery,but no complication occurred after anticoagulant therapy.Twelve patients experienced aneurysm recurrence,but Was successfully managed with a second coil embolization procedure.Conclusion GDCs and EDCs Can be safe,reliable and effective for early endovascular embolization of ruptured intracranial aneurysrns.