CAJ | 학술논문

目的：探讨早期血管内栓塞术治疗破裂性后交通动脉瘤的中远期效果。方法对36例患者（36枚）破裂性后交通动脉瘤行早期血管内栓塞术,根据Raymond分级方法评估栓塞效果。制订统一影像学复查计划,术后0.5、1、2、3、5年随访分析中远期疗效。结果36例患者（36枚）破裂性后交通动脉瘤栓塞成功率为100%。 Raymond分级评估显示32例患者为1级,2例为2级,2例3级。5例患者（13.89%）动脉瘤复发（随访0.5年1例,2年1例,3年1例,5年2例）,复发后再次破裂1例（2.78%）,随访期间无死亡病例。结论早期血管内栓塞术治疗破裂性后交通动脉瘤可有效改善蛛网膜下腔出血患者预后,定期影像学随访复查可及时发现动脉瘤复发及再发,采取有效干预措施有助于防止其继续加重和破裂。
목적：탐토조기혈관내전새술치료파렬성후교통동맥류적중원기효과。방법대36례환자（36매）파렬성후교통동맥류행조기혈관내전새술,근거Raymond분급방법평고전새효과。제정통일영상학복사계화,술후0.5、1、2、3、5년수방분석중원기료효。결과36례환자（36매）파렬성후교통동맥류전새성공솔위100%。 Raymond분급평고현시32례환자위1급,2례위2급,2례3급。5례환자（13.89%）동맥류복발（수방0.5년1례,2년1례,3년1례,5년2례）,복발후재차파렬1례（2.78%）,수방기간무사망병례。결론조기혈관내전새술치료파렬성후교통동맥류가유효개선주망막하강출혈환자예후,정기영상학수방복사가급시발현동맥류복발급재발,채취유효간예조시유조우방지기계속가중화파렬。
Objective To evaluate the mid-term and long-term effects of early endovascular emboli-zation in treating ruptured posterior communicating artery aneurysm. Methods Early endovascular embolization therapy was carried out in 36 patients with ruptured posterior communicating artery aneurysm (36 aneurysms in total), and the effects of embolization therapy were evaluated by using Raymond grading method. The unified imaging review program was formulated, and the mid-term and long-term effects were evaluated at half, 1, 2, 3 and 5 years after the treatment. Results The technical success rate was 100% in 36 patients (36 aneurysms in total). Raymond grading evaluation showed that gradeⅠwas seen in 32 patients, gradeⅡ in 2 patients, and grade Ⅲ in 2 patients. Recurrence of aneurysm was found in 5 patients (13.89%) at half (n=1), 2 (n=1), 3 (n=1) and 5 years (n=2) after the treatment. Re-rupture of the recurrent aneurysm was seen in one patient (2.78%). No death occurred during the following-up period. Conclusion Early endovascular embolization for ruptured posterior communicating artery aneurysm can effectively improve the prognosis of subarachnoid hemorrhage, and regular imaging examination can promptly detect the recurrence of aneurysm. Effective interventions are helpful for preventing deterioration and rupture of aneurysm.