CAJ | 학술논문

目的探讨血管内栓塞治疗颅内动脉瘤的疗效. 方法回顾性分析汕头大学医学院第一附属医院神经外科自2001年1月至2009年12月经血管内栓塞治疗的48例颅内动脉瘤患者(共53个动脉瘤)的临床资料和疗效. 结果本组颅内动脉瘤成功栓塞51个,其中100％栓塞40个,95％栓塞6个,90％栓塞5个；栓塞失败2个,改为二期栓塞治疗.术中动脉瘤破裂2例,无术中死亡病例.46例患者随访6～12个月,CTA或DSA检查显示2例动脉瘤复发,2例留下重度残疾,5例有轻度神经功能缺失症状,其余均恢复良好. 结论颅内破裂动脉瘤采用可脱性弹簧圈进行血管内栓塞治疗具有微创、安全等优点,个体化栓塞及有效的术后处理能改善患者的预后.
목적 탐토혈관내전새치료로내동맥류적료효. 방법 회고성분석산두대학의학원제일부속의원신경외과자2001년1월지2009년12월경혈관내전새치료적48례로내동맥류환자(공53개동맥류)적림상자료화료효. 결과 본조로내동맥류성공전새51개,기중100％전새40개,95％전새6개,90％전새5개；전새실패2개,개위이기전새치료.술중동맥류파렬2례,무술중사망병례.46례환자수방6～12개월,CTA혹DSA검사현시2례동맥류복발,2례류하중도잔질,5례유경도신경공능결실증상,기여균회복량호. 결론 로내파렬동맥류채용가탈성탄황권진행혈관내전새치료구유미창、안전등우점,개체화전새급유효적술후처리능개선환자적예후.
Objective To investigate the effect of endovascular interventional therapy on intracranial aneurysm.Methods We retrospectively analyzed the clinical information and treatment efficacy of 48 patients (53 aneurysms) experienced interventional embolism therapy; these patients were admitted to and received treatment in our hospital from January 2001 to December 2009.Results Among the 53 aneurysms of 48 patients,40 aneurysms were obliterated completely,6 aneurysms 95％ obliterated,5 aneurysms 90％ obliterated and 2 aneurysms failed; 2 aneurysms ruptured and no death was noted during the operation.Six to 12 months after the operation,follow-up of the 46 patients indicated that 2 were recurred under CMA or DSA; 2 was severely disabled; 5 had mild neurological deficits; and the other enjoyed good results.Conclusion Endovascular embolization ofaneurysms is a minimally invasive method with low risk; individualized embolism therapy can improve the prognosis.