CAJ | 학술논문

目的：分析应用双微导管技术治疗颅内宽颈动脉瘤疗效、复发及并发症。方法回顾性分析13例采用双微导管技术栓塞破裂的宽颈动脉瘤患者的临床资料，均随访3年以上。均采用动脉瘤栓塞程度的判断标准及格拉斯哥评分(GCS)进行评估，并总结了长期疗效、复发及并发症情况。结果经长期随访，在急性期应用双微导管技术栓塞破裂动脉瘤，复查全脑血管造影(DSA)示动脉瘤瘤腔闭塞100%者9例(69.2%)，闭塞95%以上者2例(15.3%)，闭塞90%者1例(7.69%)，栓塞小于80%者1例(7.69%)。格拉斯哥预后评分(GOS)5分9例(69.23%)，4分3例(23.08)，3分1例(7.69%)。结论对于常规方法治疗宽颈动脉困难或者失败的病例，尝试应用双微导管技术栓塞，是一种有效的治疗方法。
목적：분석응용쌍미도관기술치료로내관경동맥류료효、복발급병발증。방법회고성분석13례채용쌍미도관기술전새파렬적관경동맥류환자적림상자료，균수방3년이상。균채용동맥류전새정도적판단표준급격랍사가평분(GCS)진행평고，병총결료장기료효、복발급병발증정황。결과경장기수방，재급성기응용쌍미도관기술전새파렬동맥류，복사전뇌혈관조영(DSA)시동맥류류강폐새100%자9례(69.2%)，폐새95%이상자2례(15.3%)，폐새90%자1례(7.69%)，전새소우80%자1례(7.69%)。격랍사가예후평분(GOS)5분9례(69.23%)，4분3례(23.08)，3분1례(7.69%)。결론대우상규방법치료관경동맥곤난혹자실패적병례，상시응용쌍미도관기술전새，시일충유효적치료방법。
Objective To analyze the dual micro- catheter treatment of wide- necked intracranial aneurysm, the palindromia and the complication. Methods We use retrospective analysis to study 13 clinical materials of the patients of wide-necked aneurysm, follow up more than 3 years. In the meanwhile,we adopt the criterion of embolization degree and estimate the Glasgow Rating, combined the situation of long- term curative effect, the palindromia and the complication. Result We come to a conclusion about the review of DSA aneurysms lumen occlusion with long-term fl.up, applying of dual the microcatheter ruptured aneurysms embolization technique in the emergency period: 9 cases of 100% (69.2%) of occlusion, 2 cases of over 90% (15.3%) of occlusion, 1 case of 90% of occlusion (7.69%) and 1 case of below 80% of embolism. Finally, there are 9 cases of 5 points (69.23%), 3 cases of 4 points (23.8%) and a case of 3 points (7.69%), according to the final grade of Glasgow Rating. Conclusion It’ s an effective method to use the dual microcatheter ruptured aneurysms embolization technique applying to the difficult cases or aborted cases, which are using the traditional cure.