中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
16期
158-159,203
,共3页
李刚%卓萍%余顺水%张勋%杨汉兵
李剛%卓萍%餘順水%張勛%楊漢兵
리강%탁평%여순수%장훈%양한병
脑动脉瘤%弹簧圈%栓塞%并发症
腦動脈瘤%彈簧圈%栓塞%併髮癥
뇌동맥류%탄황권%전새%병발증
Cerebral aneurysm%Coils%Embolism%Complication
目的:分析颅内脑动脉瘤血管内栓塞治疗并发症发生的原因,制定适应的防治方案,提高脑动脉瘤栓塞治疗的成功率。方法选我院2007年7月~2014年7月采用弹簧圈栓塞治疗颅内动脉瘤共172例。其中,电解弹簧圈栓塞78例,水解弹簧圈栓塞55例,两种弹簧圈混合栓塞39例。结果172例患者术中发生并发症10例,其中动脉瘤破裂出血5例,血栓形成2例,弹簧圈脱出2例,严重脑血管痉挛1例。采用正规操作抢救后恢复良好。结论颅内脑动脉瘤血管内栓塞治疗并发症以动脉瘤破裂出血最为常见,其余有血栓形成,弹簧圈脱出,严重脑血管痉挛等。严格正规的操作可提高抢救成功率。
目的:分析顱內腦動脈瘤血管內栓塞治療併髮癥髮生的原因,製定適應的防治方案,提高腦動脈瘤栓塞治療的成功率。方法選我院2007年7月~2014年7月採用彈簧圈栓塞治療顱內動脈瘤共172例。其中,電解彈簧圈栓塞78例,水解彈簧圈栓塞55例,兩種彈簧圈混閤栓塞39例。結果172例患者術中髮生併髮癥10例,其中動脈瘤破裂齣血5例,血栓形成2例,彈簧圈脫齣2例,嚴重腦血管痙攣1例。採用正規操作搶救後恢複良好。結論顱內腦動脈瘤血管內栓塞治療併髮癥以動脈瘤破裂齣血最為常見,其餘有血栓形成,彈簧圈脫齣,嚴重腦血管痙攣等。嚴格正規的操作可提高搶救成功率。
목적:분석로내뇌동맥류혈관내전새치료병발증발생적원인,제정괄응적방치방안,제고뇌동맥류전새치료적성공솔。방법선아원2007년7월~2014년7월채용탄황권전새치료로내동맥류공172례。기중,전해탄황권전새78례,수해탄황권전새55례,량충탄황권혼합전새39례。결과172례환자술중발생병발증10례,기중동맥류파렬출혈5례,혈전형성2례,탄황권탈출2례,엄중뇌혈관경련1례。채용정규조작창구후회복량호。결론로내뇌동맥류혈관내전새치료병발증이동맥류파렬출혈최위상견,기여유혈전형성,탄황권탈출,엄중뇌혈관경련등。엄격정규적조작가제고창구성공솔。
Objective To explore the causes of complications after endovascular embolization treatment of intraeranial aneurysms, formulate adaptive control scheme, improve the success rate of embolization of cerebral aneurysms. Methods 172 cases of intracranial aneurysms were choosed in our hospital from July 2007 to July 2014, and treated with the Hydrocoil embolization, Among them, 78 cases were treated with the electrolysis hydrocoil embolization, 55 cases were treated with hydrolysis hydrocoil embolization, 39 cases were treated with mixed embolization.Results 10 cases of 172 patients were occured complications during intraoperative, including aneurysm rupture hemorrhage (5 cases), thrombosis ( 2 cases), spring coil out ( 2 cases), severe cerebral vasospasm(1 case). ConclusionAneurysm rupture hemorrhage is the most common complications on endovascular embolization of intracranial aneurysms, and thrombosis, spring coil out, severe cerebrovascular spasm were also occurred on endovascular embolization of intracranial aneurysms .Strictly formal operation can improve the success rate of rescue.