颅内动脉瘤破裂后的早期栓塞治疗  

Early embolization of ruptured intracranial aneurysms

作　　者：马骏[1] 常义[1] 刘宏毅[1] 胡波[1] 黄庆玖[1] 陈永严[1] 赵鹏来[1] 何升学[1] 

机构地区：[1]南京医科大学附属脑科医院神经外科,210029

出　　处：《临床神经外科杂志》2005年第3期101-103,共3页Journal of Clinical Neurosurgery

基　　金：国家"十五"科技攻关课题资助项目(2001BA703B18)南京市医学重点科技发展项目(ZKX0305)

摘　　要：目的研究颅内动脉瘤破裂后早期栓塞治疗的意义、可行性及相关事宜。方法对32例破裂的颅内动脉瘤在3 d内施行栓塞治疗,微导管选用Tracker、Excel、Prowler、Rebar或Echelon系列,栓塞材料选用GDC、EDC或Orbit。结果动脉瘤90%栓塞20例、95%栓塞8例、完全栓塞4例,死亡4例。结论动脉瘤破裂后的早期栓塞可减少再出血的风险,操作受血管痉挛的影响较小,对血管痉挛有治疗作用,术后需辅以“3H”治疗。Objective To explore the possibility and application of-early embolization of ruptured intracranial aneurysms. Methods 32 patients with the ruptured intracranial aneurysms were treated by embolization within 3 days. The mieroeatheter is Tracker, Excel, Prowler, Rebar or Echelon, and the coil is GDC, EDC or Orbit. Rusults 90% occlusion were achieved in 20 cases, 95% in 8 cases, 100% in 4 cases. 4 cases died. Conclusions It can prevent rebleeding and may be helpful in treating cerebral vasospasm that the ruptured intracranial aneurysms were treated by early embolization. There＇s no significant affection of cerebral vasospasm on the embolizing. The methods of “3H” should be used after embolization.

关 键 词：颅内动脉瘤破裂 早期栓塞 

分 类 号：R651.12[医药卫生—外科学]