CAJ | 학술논문

目的：探讨血管内介入治疗IV、V级动脉瘤破裂出血的疗效。方法对大连医科大学附属第一医院收治的23例IV（17例）、V级（6例）破裂动脉瘤患者急诊行血管内栓塞治疗，动脉瘤直径5～21 mm。手术后造影，分析术后疗效。结果恢复良好15例，占65％；植物生存者5例，占21％；死亡3例占13％。结论对于Hunt-Hess分级IV-V级的患者，在早期行血管介入治疗，能及时制止出血，控制病情，可显著改善颅内动脉瘤出血患者的预后，且介入创伤小，疗效肯定，适应证较宽，可在临床上使用推广。
목적：탐토혈관내개입치료IV、V급동맥류파렬출혈적료효。방법대대련의과대학부속제일의원수치적23례IV（17례）、V급（6례）파렬동맥류환자급진행혈관내전새치료，동맥류직경5～21 mm。수술후조영，분석술후료효。결과회복량호15례，점65％；식물생존자5례，점21％；사망3례점13％。결론대우Hunt-Hess분급IV-V급적환자，재조기행혈관개입치료，능급시제지출혈，공제병정，가현저개선로내동맥류출혈환자적예후，차개입창상소，료효긍정，괄응증교관，가재림상상사용추엄。
Objective To investigate the efficacy of interventional endovascular therapy for level IV and V intracranial an -eurysm ruptures .Methods 23 cases of level IV and V aneurysm rupture , which were treated with emergency endovascular embolization in the First Affiliated Hospital of Dalian Medical University , were retrospectively analyzed .Results There were 15 cases of good recovery (65%), 5 cases of plant survival (21%) and 3 cases of death (13%).Conclusion Early interventional endovascular treatment can stop the bleeding in time and control the disease for IV -V level patients .It can significantly improve the prognosis of patients with intracranial aneurysm hemorrhage .Endovascular therapy has advantages of less trauma , better healing effect and wide adaptation and thus can be promoted in clinical practice .