CAJ | 학술논문

目的：研究出血性脑动脉瘤介入栓塞手术后脑血管痉挛（CVS）的治疗和预后。方法：分析aSAH患者152例，Hunter-hess分级在Ⅰ～Ⅳ级，发病5 d 内进行介入栓塞手术治疗。术后通过 TCD 检测 CVS 严重程度。结果：发生CVS 69例，其中术前发生21例，术中发生13例，术后发生35例，CVS患者经处理后大部分缓解，但仍有6例发生脑梗塞，1例因大面积小脑梗死而死亡。结论：aSAH并发CVS仍是常见并发症，应重视aSAH合并脑血管痉挛的早期预测和治疗，才能彻底改善脑血管痉挛（CVS）患者预后，提高治疗效果。
목적：연구출혈성뇌동맥류개입전새수술후뇌혈관경련（CVS）적치료화예후。방법：분석aSAH환자152례，Hunter-hess분급재Ⅰ～Ⅳ급，발병5 d 내진행개입전새수술치료。술후통과 TCD 검측 CVS 엄중정도。결과：발생CVS 69례，기중술전발생21례，술중발생13례，술후발생35례，CVS환자경처리후대부분완해，단잉유6례발생뇌경새，1례인대면적소뇌경사이사망。결론：aSAH병발CVS잉시상견병발증，응중시aSAH합병뇌혈관경련적조기예측화치료，재능철저개선뇌혈관경련（CVS）환자예후，제고치료효과。
Aim:To analysis the treatment and prognosis of cerebral vasospasm (CVS)after ruptured aneurysms treated by interventional embolization.Methods:152 aSAH patients were in Ⅰ~Ⅳ level of Hunter-Hess classification,and were received the interventional embolization surgery within 5 days.Tes-ting severity of CVS by TCD after surgery.Results:69 cases of CVS occurred in 152 patients(21 cases occurred preoperative,13 cases occurred intraoperative,35 cases occurred postoperation).The most of CVS patients’symptoms were relief after treatment,But 6 cases were occured cerebral infarction,1 case was died from the large area of cerebellar infarction.Conclusion:CVS is still the common complications after rupture of aneurysm.We should pay attention to the early prediction and new methods of treatment of aSAH complicate with CVS,then improving curative effect of patients with cerebral vasospasm (CVS).