CAJ | 학술논문

目的探讨血管内治疗急性期破裂颅内动脉瘤的安全性及有效性.方法回顾性分析74例颅内动脉瘤在破裂出血后72h内行血管内治疗临床资料.结果74例患者发病后均行CT检查,证实为蛛网膜下腔出血,并经全脑血管造影证实为颅内动脉瘤,共检出92枚动脉瘤,其中单发57例,2枚10例,3枚以上7例.72h内进行血管内栓塞治疗,术中根据动脉瘤的形状、大小选择合适的支架及微弹簧圈栓塞.92枚动脉瘤中,致密填塞81枚,瘤颈残余4枚,填塞不充分2例,未作栓塞处理(非重要动脉瘤)5枚.结论血管内治疗急性期破裂颅内动脉瘤安全有效,可作为其首选治疗方式.
목적탐토혈관내치료급성기파렬로내동맥류적안전성급유효성.방법회고성분석74례로내동맥류재파렬출혈후72h내행혈관내치료림상자료.결과74례환자발병후균행CT검사,증실위주망막하강출혈,병경전뇌혈관조영증실위로내동맥류,공검출92매동맥류,기중단발57례,2매10례,3매이상7례.72h내진행혈관내전새치료,술중근거동맥류적형상、대소선택합괄적지가급미탄황권전새.92매동맥류중,치밀전새81매,류경잔여4매,전새불충분2례,미작전새처리(비중요동맥류)5매.결론혈관내치료급성기파렬로내동맥류안전유효,가작위기수선치료방식.
Objective To study and explore the efficacy and safety of the endovascular embolization of ruptured intracranial aneurysms in the acute phase. Methods The clinical dates of 74 cases of the endovascular embolization of ruptured intracranial aneurysms in the acute phase were retrospectively analyses. All patients were confirmed as subarachnoid hemorrhage by CT examination,and were confirmed by cerebral angiography for intracranial aneurysms. All patients were underwent endovascular embolization within 72 hours after rupture,and the endovascular strategy were formulated according to the property of aneurysm. Results Total 92 aneurysms were detected in 74 patients,including solitary aneurysm in 57 cases, 2 aneurysms in 10 cases,3 and more aneurysms in 7 patients. 81 aneurysms were dense emblazed,and 4 aneurysm necks were exsited,2 aneurysms had a small exsited and not for embolization treatment(non-responsibility aneurysm)in 5 cases. Conclusion Endovascular treatment of ruptured intracranial aneurysms in the acute phase is very safe and effective,which should be as the first choice.