CAJ | 학술논문

目的探讨前交通动脉瘤栓塞和手术的风险、难度及其适应证.方法 186例前交通动脉瘤患者,治疗前分析开颅夹闭和栓寒的风险及难度,并结合患者及家属意见确定治疗方案.经翼点入路开颅夹闭58例,经颅-眶入路夹闭8例,经血管内弹簧圈栓塞120例.结果开颅手术组术后肢体活动障碍2例,死亡3例.弹簧圈栓塞组术后肢体活动障碍2例,死亡3例,再出血1例.结论不同患者栓塞和手术夹闭风险各异,术前风险评估是确定治疗方案的重要依据.
목적 탐토전교통동맥류전새화수술적풍험、난도급기괄응증.방법 186례전교통동맥류환자,치료전분석개로협폐화전한적풍험급난도,병결합환자급가속의견학정치료방안.경익점입로개로협폐58례,경로-광입로협폐8례,경혈관내탄황권전새120례.결과 개로수술조술후지체활동장애2례,사망3례.탄황권전새조술후지체활동장애2례,사망3례,재출혈1례.결론 불동환자전새화수술협폐풍험각이,술전풍험평고시학정치료방안적중요의거.
Objective To evaluate the risk, difficulty and indication of clipping and coiling for anterior communicating artery aneurysms (AcomA). Method 186 patients with AcomA were treated. We chose the treatments options according the risk and difficulty. Fifty-eight cases were treated with clipping through pterional approach,8 through orbitocranial approach and 120 with coil embolization. Results Of the 66 patients with clipping,2 were left with procedure-related hemiparalysis and 3 died. Of the 120 patients with coil cmbolization, 2 were left with procedure-related neurological deficits, 3 died and 1 rebleeding. Conclusions There is different risk and difficulty in different cases with different therapy. The evaluation of the risk is important basis for decision of treatment option.