CAJ | 학술논문

目的：探讨＞70岁老年人颅内动脉瘤破裂血管内栓塞治疗的临床疗效。方法选取45例＞70岁经CT检查确诊为蛛网膜下腔出血且全脑血管造影明确诊断动脉瘤破裂出血的患者，按Hunt-Hess分级，Ⅱ级15例，Ⅲ级17例，Ⅳ级及以上13例。经数字减影造影（ DSA）发现动脉瘤48个。依据动脉瘤的不同结构和不同位置，采取单纯弹簧圈栓塞、支架结合栓塞与球囊辅助栓塞；术后予“3H”、“尼莫地平”预防血管痉挛治疗，同时治疗基础疾病。结果成功栓塞44个动脉瘤，栓塞成功率为91.67％。术后评分优良37例，轻度残疾5例，重度残疾1例，死亡2例。结论血管内栓塞可以有效治疗＞70岁患者破裂颅内动脉瘤，防止动脉瘤再次破裂出血，临床效果显著。
목적：탐토＞70세노년인로내동맥류파렬혈관내전새치료적림상료효。방법선취45례＞70세경CT검사학진위주망막하강출혈차전뇌혈관조영명학진단동맥류파렬출혈적환자，안Hunt-Hess분급，Ⅱ급15례，Ⅲ급17례，Ⅳ급급이상13례。경수자감영조영（ DSA）발현동맥류48개。의거동맥류적불동결구화불동위치，채취단순탄황권전새、지가결합전새여구낭보조전새；술후여“3H”、“니막지평”예방혈관경련치료，동시치료기출질병。결과성공전새44개동맥류，전새성공솔위91.67％。술후평분우량37례，경도잔질5례，중도잔질1례，사망2례。결론혈관내전새가이유효치료＞70세환자파렬로내동맥류，방지동맥류재차파렬출혈，림상효과현저。
Objective To analyse and discuss the clinical curative effect of endovascular embolization of in -tracranial aneurysm for rupturing intracranial aneurysm in elderly patients (>70 years old).Methods Forty-five pa-tients(>70 years old) were selected, subarachnoid hemorrhage by CT examination and aneurysm by cerebral angiog -raphy.According to Hunt-Hess classification: there were 32 cases in Ⅱ~Ⅲ class, and 13 cases above Ⅳ class. Forty-eight aneurysms we found through digital subtraction angiography .According to the different structure and posi-tion of aneurysms , which were sent with or without coil and bollooon assisted for endovascular embolization .After op-eration, they were treated by “3H” and nimodipine for preventing cerebral vasospasm .At the same time, the basic diseases were treated .Results Successful embolization was performed in 45 aneurysms , the embolization success rate was 91.67%.The scores of operation showed , 37 cases were excellent;5 cases were mild disability;1 case was disability and 2 cases were death .Conclusion Endovascular embolization can effectively treat the rupturing intracra-nial aneurysms in patients older than 70 years, and prevent aneurysms ruptured bleeding again .