CAJ | 학술논문

目的探讨经血管内治疗颅内基底动脉瘤的安全性、有效性。方法56例患者中基底动脉顶端动脉瘤10例，基底动脉干动脉瘤46例；其中夹层动脉瘤20例，囊状动脉瘤19例；梭形动脉瘤17例。未破裂动脉瘤20例，发生过破裂出血36例。在全身麻醉下进行血管内治疗，观察其安全性和治疗效果。结果56例技术成功率100%，术后均未发生再出血，无新增神经功能缺失，无死亡病例，随访2个月~72个月，原有症状均获明显改善。夹层动脉瘤20例中，单纯支架置入8例，支架辅助弹簧圈栓塞12例，动脉瘤未见显影，支架位置理想，支架内血流通畅；囊状动脉瘤19例中完全栓塞17例，次全栓塞1例，部分栓塞1例；梭形动脉瘤17例中单纯支架置入13例，双支架置入4例，瘤体未见显影，支架位置理想，支架内血流通畅。架均到达理想的预定位置，未狭窄，支架内血流通畅，瘤体未见显影；(经治疗后血管造影证实)。结论血管内介入治疗为基底动脉瘤的治疗提供了微创和较为安全、有效的治疗方法。
목적탐토경혈관내치료로내기저동맥류적안전성、유효성。방법56례환자중기저동맥정단동맥류10례，기저동맥간동맥류46례；기중협층동맥류20례，낭상동맥류19례；사형동맥류17례。미파렬동맥류20례，발생과파렬출혈36례。재전신마취하진행혈관내치료，관찰기안전성화치료효과。결과56례기술성공솔100%，술후균미발생재출혈，무신증신경공능결실，무사망병례，수방2개월~72개월，원유증상균획명현개선。협층동맥류20례중，단순지가치입8례，지가보조탄황권전새12례，동맥류미견현영，지가위치이상，지가내혈류통창；낭상동맥류19례중완전전새17례，차전전새1례，부분전새1례；사형동맥류17례중단순지가치입13례，쌍지가치입4례，류체미견현영，지가위치이상，지가내혈류통창。가균도체이상적예정위치，미협착，지가내혈류통창，류체미견현영；(경치료후혈관조영증실)。결론혈관내개입치료위기저동맥류적치료제공료미창화교위안전、유효적치료방법。
Objective to explore the base in the Endovascular treatment of intracranial aneurysms of safety and effectiveness. Methods:56 cases of patients with top of the Basilar Artery aneurysm: report of 10 cases, Basilar Artery aneurysm: report of 46 cases; the dissecting aneurysm: report of 20 cases, cystic aneurysm: report of 19 cases; fusiform aneurysm: report of 17 cases. Unruptured aneurysm: report of 20 cases,36 cases of the rupture occurred. Under general anaesthesia for Endovascular treatment, observe its security and its treatment result Results : Success rate of 56 cases of technology 100%, none of the postoperative rebleeding, no additional loss of nerve function, no death cases, follow-up 2~72 month, the original symptoms will be significantly improved. Sandwich aneurysm 20 cases in the, simple bracket reset into 8 cases, bracket secondary spring ring embolism 12 cases, aneurysm is not see developer, bracket location ideal, bracket within blood flow smooth; SAC shaped aneurysm 19 cases in the full embolism 17 cases, times full embolism 1 cases, part embolism 1 cases; shuttle shaped aneurysm 17 cases in the simple bracket reset into 13 cases, double bracket reset into 4 cases, tumor body is not see developer, bracket location ideal, bracket within blood flow smooth. Is scheduled to reach the ideal location, not narrow, in-stent patency of blood flow, the tumor did not see developer,(were confirmed through angiography after treatment) Conclusion The development of technique of endovascular treatment and medical provide a safe and effective therapeutic method for basilar artery aneurysm.