CAJ | 학술논문

目的总结前交通动脉瘤血管内治疗的经验和体会,探讨血管内治疗前交通动脉瘤的效果和减少并发症发生的方法.方法共栓塞前交通动脉瘤98例.依据Hunt-Hess分级:I级16例,Ⅱ级52例,Ⅲ级23例,Ⅳ级7例.术后积极行腰大池或腰穿引流血性脑脊液,采用"3H"疗法防治血管痉挛.结果 98个动脉瘤全部成功栓塞,随访3个月-3年,无再出血发生.结论血管内治疗前交通动脉瘤是一种有效、确切的治疗方法.术后早期引流血性脑脊液、积极药物治疗是减少并发症的发生、提高治疗效果的重要方法.
목적 총결전교통동맥류혈관내치료적경험화체회,탐토혈관내치료전교통동맥류적효과화감소병발증발생적방법.방법 공전새전교통동맥류98례.의거Hunt-Hess분급:I급16례,Ⅱ급52례,Ⅲ급23례,Ⅳ급7례.술후적겁행요대지혹요천인류혈성뇌척액,채용"3H"요법방치혈관경련.결과 98개동맥류전부성공전새,수방3개월-3년,무재출혈발생.결론 혈관내치료전교통동맥류시일충유효、학절적치료방법.술후조기인류혈성뇌척액、적겁약물치료시감소병발증적발생、제고치료효과적중요방법.
Objective To summarize the treatment experience and evaluate outcome of endovascular treatment of anterior communicating artery aneurysms.Methods 98 cases of anterior communicating artery aneurysms were treated with endovascular treatment between March 2006 and December 2009.The pretreatment Hunt and Hess score was grade 1 in 16 patients,grade 2 in 52,grade 3 in 23 and grade 4 in 7.The hemorrhage was early removed from subarachnoid cavity after operation.Results 98 aneurysms were cured succesfully.There was no rebleeding during follow-up period (3 to 36 months) .Conclusion Endovascular treatment is an effective technique for treating anterior communicating artery aneurysms.Advances in techniques and correct treatment of complications will decrease the complications and improve the future outcome.