中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2011年
5期
470-473
,共4页
潘剑威%欧昌江%严敏%范卫健%贺红卫%吴中学%詹仁雅
潘劍威%歐昌江%嚴敏%範衛健%賀紅衛%吳中學%詹仁雅
반검위%구창강%엄민%범위건%하홍위%오중학%첨인아
复杂动脉瘤%球囊%支架%双微管
複雜動脈瘤%毬囊%支架%雙微管
복잡동맥류%구낭%지가%쌍미관
Complex aneurysm%Balloon%Stent%Double microcatheter
目的 探讨多种辅助栓塞技术治疗颅内复杂动脉瘤的临床应用.方法 共36例患者的41个颅内复杂动脉瘤行辅助栓塞治疗,方法包括球囊、支架辅助栓塞和双微导管栓塞技术.结果 宽颈动脉瘤33个,其中球囊辅助栓塞11例,完全栓塞7例,次全栓塞3例,另外1例因球囊放置困难改用双微导管栓塞技术；支架辅助栓塞15例,完全栓塞10例,次全及部分栓塞各2例,单纯支架植入1例；双微导管技术栓塞8例,完全栓塞6例,次全及部分栓塞各1例.梭形动脉瘤8个,全部行支架辅助栓寒,完全栓塞1例,次全栓塞6例,单纯支架植入1例.3例出现并发症,其中术中血栓形成2例,术后视野缺损1例.结论 球囊、支架辅助和双微导管栓塞技术是治疗颅内复杂动脉瘤安全有效的方法,具体应根据动脉瘤部位、形态和患者临床情况进行选择.
目的 探討多種輔助栓塞技術治療顱內複雜動脈瘤的臨床應用.方法 共36例患者的41箇顱內複雜動脈瘤行輔助栓塞治療,方法包括毬囊、支架輔助栓塞和雙微導管栓塞技術.結果 寬頸動脈瘤33箇,其中毬囊輔助栓塞11例,完全栓塞7例,次全栓塞3例,另外1例因毬囊放置睏難改用雙微導管栓塞技術；支架輔助栓塞15例,完全栓塞10例,次全及部分栓塞各2例,單純支架植入1例；雙微導管技術栓塞8例,完全栓塞6例,次全及部分栓塞各1例.梭形動脈瘤8箇,全部行支架輔助栓寒,完全栓塞1例,次全栓塞6例,單純支架植入1例.3例齣現併髮癥,其中術中血栓形成2例,術後視野缺損1例.結論 毬囊、支架輔助和雙微導管栓塞技術是治療顱內複雜動脈瘤安全有效的方法,具體應根據動脈瘤部位、形態和患者臨床情況進行選擇.
목적 탐토다충보조전새기술치료로내복잡동맥류적림상응용.방법 공36례환자적41개로내복잡동맥류행보조전새치료,방법포괄구낭、지가보조전새화쌍미도관전새기술.결과 관경동맥류33개,기중구낭보조전새11례,완전전새7례,차전전새3례,령외1례인구낭방치곤난개용쌍미도관전새기술；지가보조전새15례,완전전새10례,차전급부분전새각2례,단순지가식입1례；쌍미도관기술전새8례,완전전새6례,차전급부분전새각1례.사형동맥류8개,전부행지가보조전한,완전전새1례,차전전새6례,단순지가식입1례.3례출현병발증,기중술중혈전형성2례,술후시야결손1례.결론 구낭、지가보조화쌍미도관전새기술시치료로내복잡동맥류안전유효적방법,구체응근거동맥류부위、형태화환자림상정황진행선택.
Objective To investigate the application of assisted coiling techniques in the treatment of complex intracranial aneurysms.Methods From Jun.2007 to Aug.2010,36 patients with 41 complex intracranial aneurysms were treated by varient endovascular methods,including balloon,stent-assisted coiling and double microcatheter coiling techniques.Results Among the 33 wide - neck aneurysms,11cases underwent balloon- assisted coiling,in which 7 were totally occluded,3 subtotally occluded,1 diverted to double microcatheter treatment after failure balloon placement.15 cases underwent stent - assisted coiling,in which 10 were totally occluded,2 subtotally or partially occluded respectively,1 by single stent placement without coiling.8 cases accepted double microcatheter treatment,6 were totally occluded,1 subtotally occluded and 1 partially occluded.All 8 fusiform aneurysms were treated by stent -assisted coiling,one case was totally occluded,6 subtotally occluded,and another one was treated by single stent placement.The complications were found in 3 patients,including intra - operative thrombosis in 2 cases and dysopia in one case.Conclusion Balloon,stent - assisted coiling and double microcatheter techniques are safe and effective in treating complex intracranial aneurysms,but it should be determined by the position and morphologic characteristics of aneurysms as well as the patients' clinical condition.
