中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
1期
93-96
,共4页
王晓强%强强%赵开军%江泓%顾小宇%胡锦清%林东%孙青芳%赵卫国%沈建康
王曉彊%彊彊%趙開軍%江泓%顧小宇%鬍錦清%林東%孫青芳%趙衛國%瀋建康
왕효강%강강%조개군%강홍%고소우%호금청%림동%손청방%조위국%침건강
颅内动脉瘤%介入治疗%并发症
顱內動脈瘤%介入治療%併髮癥
로내동맥류%개입치료%병발증
Intracranial aneurysm%Interventional therapy%Complication
目的 探讨前交通动脉瘤的介入治疗适应证,手术方法和疗效.方法 回顾性分析行血管内介入治疗的前交通动脉瘤63例患者的临床资料,分析术前影像学检查结果及手术方式和术后随诊结果.结果 54例为责任动脉瘤破裂出血,另外9例为其他部位动脉瘤破裂出血而行DSA检查发现的前交通动脉瘤或者因其他原因行DSA检查发现的前交通动脉瘤.63例患者应用电解脱或者压力解脱铂金弹簧圈,利用微导管辅助3例,球囊辅助6例,支架辅助3例;57例动脉瘤完全闭塞,6例少量瘤颈残留;13例术后行脑室外引流;死亡2例.结论 血管内治疗前交通动脉瘤是一种安全、微创、有效的方法,但前交通动脉瘤患者术后容易合并电解质紊乱以及脑积水等合并症,应注意合并症的处理.
目的 探討前交通動脈瘤的介入治療適應證,手術方法和療效.方法 迴顧性分析行血管內介入治療的前交通動脈瘤63例患者的臨床資料,分析術前影像學檢查結果及手術方式和術後隨診結果.結果 54例為責任動脈瘤破裂齣血,另外9例為其他部位動脈瘤破裂齣血而行DSA檢查髮現的前交通動脈瘤或者因其他原因行DSA檢查髮現的前交通動脈瘤.63例患者應用電解脫或者壓力解脫鉑金彈簧圈,利用微導管輔助3例,毬囊輔助6例,支架輔助3例;57例動脈瘤完全閉塞,6例少量瘤頸殘留;13例術後行腦室外引流;死亡2例.結論 血管內治療前交通動脈瘤是一種安全、微創、有效的方法,但前交通動脈瘤患者術後容易閤併電解質紊亂以及腦積水等閤併癥,應註意閤併癥的處理.
목적 탐토전교통동맥류적개입치료괄응증,수술방법화료효.방법 회고성분석행혈관내개입치료적전교통동맥류63례환자적림상자료,분석술전영상학검사결과급수술방식화술후수진결과.결과 54례위책임동맥류파렬출혈,령외9례위기타부위동맥류파렬출혈이행DSA검사발현적전교통동맥류혹자인기타원인행DSA검사발현적전교통동맥류.63례환자응용전해탈혹자압력해탈박금탄황권,이용미도관보조3례,구낭보조6례,지가보조3례;57례동맥류완전폐새,6례소량류경잔류;13례술후행뇌실외인류;사망2례.결론 혈관내치료전교통동맥류시일충안전、미창、유효적방법,단전교통동맥류환자술후용역합병전해질문란이급뇌적수등합병증,응주의합병증적처리.
Objective To discuss the indications,method and efficacy of endovascular embolization for anterior communicating aneurysms.Methods The clinical data of 63 eases of anterior communicating aneurysms treated with endovascular embolization were retrospectively analyzed.Results 54 cases had duty-anteriors communicating aneurysms which ruptured to result in subarachnoid hemorrhage(SAH).The other 9 cases had other intracranial aneurysms which resulted in SAH or had DSA examination because of other causes,finding aneurysms.Guglielmi detachable coils(GDC)were used for endovascular embolization in all the cases.3 cases had micro-catheter assist and 6 cases had balloon assist,another 3 cases had stent assist.57 eases had complete obliteration and 6 had partly neck-residual.13 cases had extra external ventricular drainages.There were 2 dead cases.Conclusion Interventional therapy is a minimally invasive,safe and effective method for treating the anterior communicating aneurysms,however,the patients are prone to complicate with electrolyte disturbance and hydrocephalus,so it is essential to treat the complications.
