电解可脱式弹簧圈栓塞颅内动脉瘤的临床观察  

The Study of Embolization of Intracraniat Aneurysm Using Gugli etmi Detachable Coils

作　　者：岳文涛[1] 高俊红[1] 

机构地区：[1]新乡市中心医院,河南新乡453000

出　　处：《实用医技杂志》2004年第10B期2094-2095,共2页Journal of Practical Medical Techniques

摘　　要：目的 :探讨电解可脱弹簧圈 (GDC)治疗颅内动脉瘤的介入手术指征。术前评估方法、并发症、疗效。方法 :2 0 0 0年 8月至 2 0 0 3年 11月对 10例 12个颅内动脉瘤患者施行电解可脱弹簧栓塞术。其中 9例为破裂动脉瘤。按HUNT- HESS分级 :I级 2个 , 级 3个 , 级 3个 , 级 3个 , 级 1个。 8例行急诊栓塞手术 ,在 DSA动态监视下完成。术后腰椎蛛网膜下腔持续引流 ,并给予高血容量、血液稀释治疗。结果 :动脉瘤、完全闭塞 9例 ,1例死亡。术后随访 2个月～ 2 2个月 ,1例重残 ,1例有轻度神经功能异常 ,其余恢复良好。结论 :短期随访结果表明 ,GDC栓塞颅内动脉具有微创、安全、效果可靠的优点。致密填塞动脉瘤疗效可靠。部分填塞可能导致动脉瘤继续扩大 ,破裂出血。破裂动脉瘤应急诊栓塞治疗 ,术后腰椎蛛网膜下腔持续引流 。ObjectiveTo investigate the indication ,preopera tiveevaluation,technical tip,prevention and treatment of complications,effect. Methods From Augst 2000 to November,2003,10 patoents with 12 intracrani al aneur ysms were embolized using GDCs,inxluding grouptured aneurysms(Hunt-Hess grade , Ⅰ、2cases,Ⅱ、3cases,Ⅲ、3cases,Ⅳ、3cases,V、icase),gpatients were treated atemergency.The aperations were treated at emergency.aperations were compr eled under the DSA monitoring.Continuous lumbar subaraxhnoid dra ingage was ins tituted andstandard hypervolemia,hypertension,hyperdilutiontfreatment was given postoperatively. Results Total occlusion wasachieved in ganeurys ms,lpatientsdi ed.Following-up wasperformed from 2 to 22 months,I had severe disability,I ha d m ildneurological drficit symptoms. Conclusion The results of short-term follow-u o suggested that embolizaion of intraeranialaneurysms with GDCs be microtrau mat ic,safe, effective,andreliable.Partial packing may result in continous enlargeme nt,rapture,and bleeding,while tight coil packing in aneurysms was reliable. Th e ruptured aneurysms need emersency embolintion,and postoperative Continuous lu mbar subaraohnoid drainahe canenhance curative effeerive significantly.

关 键 词：颅内动脉瘤 治疗 栓塞 蛛网膜下腔 填塞 电解可脱式弹簧圈 急诊 结论 可靠 方法 

分 类 号：R739.41[医药卫生—肿瘤]