CAJ | 학술논문

目的　评价电解可脱性铂金弹簧圈(GDC)栓塞颅内动脉瘤的效果。方法　在局麻或全麻及全身抗凝下，经导引导管将微导管头端送入动脉瘤腔，用GDC逐步将瘤腔填塞满意。术前、术中、术后造影对比，随访1～16个月。结果　 22例共23个动脉瘤，栓塞21个，其中16个100％栓塞(76．2％)，4个90％栓塞(19．0％)，1个50％栓塞(4．8％)；1个伴发动脉瘤未作处理；1个栓塞失败。死亡1例，余术后随访无SAH发生。4例动眼神经麻痹中3例完全恢复，1例稍有好转。结论　 GDC栓塞治疗颅内动脉瘤安全可靠，效果良好，为颅内动脉瘤的治疗开拓了新途径。
목적　평개전해가탈성박금탄황권(GDC)전새로내동맥류적효과。방법　재국마혹전마급전신항응하，경도인도관장미도관두단송입동맥류강，용GDC축보장류강전새만의。술전、술중、술후조영대비，수방1～16개월。결과　 22례공23개동맥류，전새21개，기중16개100％전새(76．2％)，4개90％전새(19．0％)，1개50％전새(4．8％)；1개반발동맥류미작처리；1개전새실패。사망1례，여술후수방무SAH발생。4례동안신경마비중3례완전회복，1례초유호전。결론　 GDC전새치료로내동맥류안전가고，효과량호，위로내동맥류적치료개탁료신도경。
Objective To assess the effect of intracranial aneurysm embolization with Guglielmi detachable coils(GDC). Methods Under local or general anesthesia and after systematic anticoagula- tion, a micro- catheter was navigated into the aneurysm through a guide catheter. Then, the aneurysm was embolized with GDCs which was introduced by the micro - catheter. Angiography was performed before, durng and after embolization. Patients were followed for 1 to 16 monthes. Results 21 of 23 aneurysms in 22 cases were embolized by GDCs. 100% occlusion was achieved in 16 aneurysms (76.2%), 90% in 4(19% ) and 50% in 1(4.8% ). One case failed to embolization. And a coincidental unruptured aneurysm was not embolized. One case died, and no rebleeding occured in this group after treatment. 3 of the 4 cases presented with oculomotor paralysis were completely recovered, another case was improved. Conclusion Embolization of intracranial aneurysms with GDCs is safe, effective and reliable. It has opened a new field for the treatment of intracranial aneurysm.