局解手术学杂志
跼解手術學雜誌
국해수술학잡지
JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY
2015年
2期
179-180,181
,共3页
颅内动脉瘤%双微导管%栓塞
顱內動脈瘤%雙微導管%栓塞
로내동맥류%쌍미도관%전새
cerebral aneurysm%double micro-catheter technique%embolization
目的:探讨采用双导管技术栓塞治疗颅内动脉瘤的疗效。方法回顾分析2010年1月至2014年4月共83例颅内动脉瘤采用双根微导管技术栓塞颅内动脉瘤患者的临床资料,选择瘤颈/瘤体比为1/3~1/1的动脉瘤进行栓塞,采用不同方法送入微弹簧圈,始终保持1枚弹簧圈不解脱,以保证瘤内弹簧圈的稳定性,最后全部解脱弹簧圈。结果83例采取双导管技术栓塞的动脉瘤的患者,栓塞过程中没有发生弹簧圈游离出动脉瘤的现象,大部分得到致密栓塞,有2例患者出现术后脑栓塞并发症,其中1例死亡,1例出现术中动脉瘤破裂。结论双导管技术对于栓塞颅内动脉瘤是一种实用的较为安全的技术,其有效性得到了很好的验证,是一种栓塞颅内动脉瘤的有效方法。
目的:探討採用雙導管技術栓塞治療顱內動脈瘤的療效。方法迴顧分析2010年1月至2014年4月共83例顱內動脈瘤採用雙根微導管技術栓塞顱內動脈瘤患者的臨床資料,選擇瘤頸/瘤體比為1/3~1/1的動脈瘤進行栓塞,採用不同方法送入微彈簧圈,始終保持1枚彈簧圈不解脫,以保證瘤內彈簧圈的穩定性,最後全部解脫彈簧圈。結果83例採取雙導管技術栓塞的動脈瘤的患者,栓塞過程中沒有髮生彈簧圈遊離齣動脈瘤的現象,大部分得到緻密栓塞,有2例患者齣現術後腦栓塞併髮癥,其中1例死亡,1例齣現術中動脈瘤破裂。結論雙導管技術對于栓塞顱內動脈瘤是一種實用的較為安全的技術,其有效性得到瞭很好的驗證,是一種栓塞顱內動脈瘤的有效方法。
목적:탐토채용쌍도관기술전새치료로내동맥류적료효。방법회고분석2010년1월지2014년4월공83례로내동맥류채용쌍근미도관기술전새로내동맥류환자적림상자료,선택류경/류체비위1/3~1/1적동맥류진행전새,채용불동방법송입미탄황권,시종보지1매탄황권불해탈,이보증류내탄황권적은정성,최후전부해탈탄황권。결과83례채취쌍도관기술전새적동맥류적환자,전새과정중몰유발생탄황권유리출동맥류적현상,대부분득도치밀전새,유2례환자출현술후뇌전새병발증,기중1례사망,1례출현술중동맥류파렬。결론쌍도관기술대우전새로내동맥류시일충실용적교위안전적기술,기유효성득도료흔호적험증,시일충전새로내동맥류적유효방법。
Objective To explore the clinical effect of double micro-catheter technique for detachable coil treatment of intracranial an-eurysms. Methods From January 2010 to April 2014,there were a total of 83 patients with cerebral aneurysms treated with double micro-catheters,and the ratio of neck/body was 1/3~1. The double micro-catheters were positioned within aneurysm. The detachable coils were in-troduced to satisfactory position by different ways. There was always one undetached coil to hold the stability of detached coils till aneurysm compactly embolized. Results 83 cases were instantly compactly embolized with double micro-catheter technique. No coils out of aneurysm. There were two cases of ischemic complication during clinical treatment,one of them was died. One case ruptured during operation. Conclu-sion The double micro-catheter technique may be an optional and safe method during embolization of some cerebral aneurysms.