CAJ | 학술논문

目的：探讨血管内不同栓塞方法治疗颅内宽颈动脉瘤的临床疗效。方法选择颅内宽颈动脉瘤患者50例，根据颅内宽颈动脉瘤的不同类型采用不同的栓塞方法，观察各种方法的临床疗效。结果不同栓塞技术的致密栓塞率情况：3D-GDC为75.0％，双微导管技术为85.7％，球囊辅助技术87.5％，血管内支架辅助技术85.7％。所有患者随访1 a ，其中20例CTA 复查，30例DSA 复查，均未发生动脉瘤复发及再出血。结论根据动脉瘤的形态、位置、大小及血流动力学特点，采用双微管技术、球囊或支架辅助技术可提高颅内宽颈动脉瘤治疗效果。
목적：탐토혈관내불동전새방법치료로내관경동맥류적림상료효。방법선택로내관경동맥류환자50례，근거로내관경동맥류적불동류형채용불동적전새방법，관찰각충방법적림상료효。결과불동전새기술적치밀전새솔정황：3D-GDC위75.0％，쌍미도관기술위85.7％，구낭보조기술87.5％，혈관내지가보조기술85.7％。소유환자수방1 a ，기중20례CTA 복사，30례DSA 복사，균미발생동맥류복발급재출혈。결론근거동맥류적형태、위치、대소급혈류동역학특점，채용쌍미관기술、구낭혹지가보조기술가제고로내관경동맥류치료효과。
Objective To investigate the curative effect of endovascular embolization on treating intracranial wide necked aneurysms.Methods Fifty patients with intracranial wide necked aneurysms were selected and used different embolized meth-ods according to types of intracranial wide necked aneurysms.The curative effects of different embolized methods were com-pared.Results The aneurysm obliteration densification rate was 75% (3D-GDC) ,85.7% (double microcatheter technique) , 87.5% ( balloon assisted technique) and 85.7% (stent assisted endovascular technique). All patients were followed up for 1 year and reexamined by CTA or DSA ,there were no recurrence and rebleeding of aneurysm.Conclusion Double micropipette technique ,balloon or stent assisted technique can significantly improve the curative effect of intracranial wide necked aneurysms according to aneurysmal shape ,position ,size and hemodynamic characteristics.