中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
20期
13-15
,共3页
颅内动脉瘤%栓塞,治疗性%弹簧圈
顱內動脈瘤%栓塞,治療性%彈簧圈
로내동맥류%전새,치료성%탄황권
Intracranial aneurysm%Embolization,therapeutic%Spring coil
目的 探讨微小脑动脉瘤介入栓塞治疗的效果、难点及技术关键等.方法 回顾性分析38例微小脑动脉瘤患者的介入栓塞治疗资料.结果 单纯弹簧圈栓塞动脉瘤26例,双微导管技术栓塞动脉瘤4例,球囊辅助栓塞动脉瘤2例,支架辅助栓塞动脉瘤6例.38例患者均栓塞成功.术后即刻造影确定栓塞程度:0级12例、l级21例、2级5例.出院时改良Rankin评分:0～1分24例,2分10例,3～4分2例,5分2例.随访33例患者6～12个月,无动脉瘤复发、再破裂发生.结论 弹簧圈介入栓塞治疗微小脑动脉瘤是一种可行、安全、有效的方法,但技术难度较大,需根据各例微小脑动脉瘤的特征选择适宜的栓塞技术,降低栓塞风险,减少术后并发症,提高成功率.
目的 探討微小腦動脈瘤介入栓塞治療的效果、難點及技術關鍵等.方法 迴顧性分析38例微小腦動脈瘤患者的介入栓塞治療資料.結果 單純彈簧圈栓塞動脈瘤26例,雙微導管技術栓塞動脈瘤4例,毬囊輔助栓塞動脈瘤2例,支架輔助栓塞動脈瘤6例.38例患者均栓塞成功.術後即刻造影確定栓塞程度:0級12例、l級21例、2級5例.齣院時改良Rankin評分:0～1分24例,2分10例,3～4分2例,5分2例.隨訪33例患者6～12箇月,無動脈瘤複髮、再破裂髮生.結論 彈簧圈介入栓塞治療微小腦動脈瘤是一種可行、安全、有效的方法,但技術難度較大,需根據各例微小腦動脈瘤的特徵選擇適宜的栓塞技術,降低栓塞風險,減少術後併髮癥,提高成功率.
목적 탐토미소뇌동맥류개입전새치료적효과、난점급기술관건등.방법 회고성분석38례미소뇌동맥류환자적개입전새치료자료.결과 단순탄황권전새동맥류26례,쌍미도관기술전새동맥류4례,구낭보조전새동맥류2례,지가보조전새동맥류6례.38례환자균전새성공.술후즉각조영학정전새정도:0급12례、l급21례、2급5례.출원시개량Rankin평분:0～1분24례,2분10례,3～4분2례,5분2례.수방33례환자6～12개월,무동맥류복발、재파렬발생.결론 탄황권개입전새치료미소뇌동맥류시일충가행、안전、유효적방법,단기술난도교대,수근거각례미소뇌동맥류적특정선택괄의적전새기술,강저전새풍험,감소술후병발증,제고성공솔.
Objective To investigate the effects,difficult points and technical key points of the interventional embolization in brain micro-aneurysms.Methods Retrospectively analyzed the material of the interventional embolization in 38 patients with brain micro-aneurysm.Results Twenty-six cases were treated with simple spring coil embolization technology,4 cases were treated with double micro-catheter embolization technic,2 cases were treated with embolization combining ballon assistive technic and 6 cases were treated with embolization combining stent assistive technic.All the 38 patients successfully embolized.The postoperative immediate cerebral angiogram to determine the degree of embolization:12 cases were 0 level,21 cases were 1 level and 5 cases were 2 level.The Rankin grade results showed that 0-1 score in 24 cases,2 scores in 10 cases,3-4 scores in 2 cases and 5 scores in 2 cases.Thirty-three patients were followed up for 6-12 months.No aneurysms recurred or re-raptured.Conclusions The spring coil embolization of brain micro-aneurysms is a feasible,safe and effective method,though the technics involved is difficulty.Selecting suitable embolization technics according to the characteristic of each micro-aneurysm can reduce the risk of operation,decrease complications and increase the successful rate.
