中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
6期
101-102
,共2页
颅内动脉瘤%介入治疗%水凝胶弹簧圈%临床应用
顱內動脈瘤%介入治療%水凝膠彈簧圈%臨床應用
로내동맥류%개입치료%수응효탄황권%림상응용
Intracranial aneurysma%Interventional treatment of hydrogel coils%Clinical application
目的 探讨可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤的安全性及临床价值.方法 对24例28个动脉瘤进行了栓塞治疗,其中23个动脉瘤使用水凝胶弹簧圈栓塞.21例为破裂出血动脉瘤,其中Hunt-Hess分级Ⅰ级6例,Ⅱ级9例,Ⅲ级4例,Ⅳ级2例.动脉瘤最大径3.6～17 mm,平均(8.3±3.4)mm.结果 完全致密栓塞20个,瘤颈残留6个,部分栓塞2个.栓塞密度为39%～124%,平均(67.6±32.3)%.暂时性对侧肢体轻偏瘫4例,脑室引流术致严重血管痉挛、颅内感染及多器官功能衰竭死亡各1例.结论 可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤安全有效,其栓塞的致密程度令人满意,其临床应用效果值得进一步研究.
目的 探討可膨脹水凝膠彈簧圈栓塞治療顱內動脈瘤的安全性及臨床價值.方法 對24例28箇動脈瘤進行瞭栓塞治療,其中23箇動脈瘤使用水凝膠彈簧圈栓塞.21例為破裂齣血動脈瘤,其中Hunt-Hess分級Ⅰ級6例,Ⅱ級9例,Ⅲ級4例,Ⅳ級2例.動脈瘤最大徑3.6～17 mm,平均(8.3±3.4)mm.結果 完全緻密栓塞20箇,瘤頸殘留6箇,部分栓塞2箇.栓塞密度為39%～124%,平均(67.6±32.3)%.暫時性對側肢體輕偏癱4例,腦室引流術緻嚴重血管痙攣、顱內感染及多器官功能衰竭死亡各1例.結論 可膨脹水凝膠彈簧圈栓塞治療顱內動脈瘤安全有效,其栓塞的緻密程度令人滿意,其臨床應用效果值得進一步研究.
목적 탐토가팽창수응효탄황권전새치료로내동맥류적안전성급림상개치.방법 대24례28개동맥류진행료전새치료,기중23개동맥류사용수응효탄황권전새.21례위파렬출혈동맥류,기중Hunt-Hess분급Ⅰ급6례,Ⅱ급9례,Ⅲ급4례,Ⅳ급2례.동맥류최대경3.6～17 mm,평균(8.3±3.4)mm.결과 완전치밀전새20개,류경잔류6개,부분전새2개.전새밀도위39%～124%,평균(67.6±32.3)%.잠시성대측지체경편탄4례,뇌실인류술치엄중혈관경련、로내감염급다기관공능쇠갈사망각1례.결론 가팽창수응효탄황권전새치료로내동맥류안전유효,기전새적치밀정도령인만의,기림상응용효과치득진일보연구.
Objective To study of the safety and clinical value of expandable hydrogel coil emboliza-tion for intracranial aneurysms. Methods 24 patients with 28 aneurysm embolization for the treatment,of 23 an-eurysms using hydrogel coil embolization. 21 cases of bleeding aneurysm, Hunt-Hess grade-six cases Ⅰ, Ⅱ-nine cases, Ⅲ-four cases, Ⅳ two cases. Aneurysms most Drive 3.6 to 17 mm(mean 8. 3±3.4) mm. Results Completely dense embolization 20, the aneurysm neck remnant of six, two partial embolization. Embolization den-sity was 39%to 124% ,with an average (67.6±32.3)%. Temporary contralateral limb hemiparesis occurred in four cases, due to serious ventricular drainage of vasospasm, intracranial infection and multiple organ failure in the one case of death, respoetively. Conclusion Expandable hydrogel coil embolization treated intracranial an-eurysms safe and effective,results are satisfactory,its clinical effect is worthy of further study.
