CAJ | 학술논문

目的探讨"篮筐"技术在颅内动脉瘤介入治疗中的方法、机制、适应证及疗效.方法 1:1≥颈/体≥1:2的颅内宽颈动脉瘤156例,应用"3D弹簧圈"成篮技术;颈/体<1:2的窄颈动脉瘤,应用"2D弹簧圈"成篮技术;后继弹簧圈选用普通二维弹簧圈、水凝胶弹簧圈或毛弹簧圈以达致密填塞.结果 156例共158个颅内动脉瘤中100%闭塞143个(90.5%),出院格拉斯哥预后评分5分131例(84.0%),死亡2例(1.3%).结论 "篮筐"技术的应用能有效地增加颅内动脉瘤的填塞率,减少瘤颈残余,达到致密填塞,改善预后的目的 .
목적 탐토"람광"기술재로내동맥류개입치료중적방법、궤제、괄응증급료효.방법 1:1≥경/체≥1:2적로내관경동맥류156례,응용"3D탄황권"성람기술;경/체<1:2적착경동맥류,응용"2D탄황권"성람기술;후계탄황권선용보통이유탄황권、수응효탄황권혹모탄황권이체치밀전새.결과 156례공158개로내동맥류중100%폐새143개(90.5%),출원격랍사가예후평분5분131례(84.0%),사망2례(1.3%).결론 "람광"기술적응용능유효지증가로내동맥류적전새솔,감소류경잔여,체도치밀전새,개선예후적목적 .
Objective To study the ways,mechanism,indication,curative effect of " Basket" skill applied in the interventional therapy for intracranial aneurysm. Methods Intracranial aneurysm with 1 : 1 ≥ neck/body ≥ 1 : 2 ," 3 D coil" was used to form a basket in it;in that with 1:2 > neck/body,common "2D coil" was applied. And the following coils were applied with hydrocoil or fibered coil combined with common platinum coil to increase the embol-ism density. Results In 156 cases with 158 aneurysms,143 aneurysms were 100% embolized (90. 5% ) ;131 ca-ses discharged with GOS 5 score(84.0% ),and 2 cases died ( 1.3% ). Conclusion " Basket" skill can increase the embolization density in aneurysm,reducing the residual of the neck,getting embolizated fully and improving the prognosis.