动脉瘤性蛛网膜下腔出血130例血管内栓塞疗效分析  

Analysis on the outcome of embolism treatment for 130 cases with aneurysmal subarachnoid hemorrhage.

作　　者：邓其峻[1] 钟伟健[1] 林海波[1] 

机构地区：[1]佛山市第一人民医院神经外科,广东佛山528000

出　　处：《临床和实验医学杂志》2006年第8期1150-1151,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的分析动脉瘤性蛛网膜下腔出血血管内栓塞疗法的疗效。方法对130例经CT或MR I确诊的动脉瘤性蛛网膜下腔出血患者进行血管内栓塞治疗。结果122例经全脑血管造影后,其中101例经血管内栓塞治愈,有21例治疗后伴有神经功能障碍。8例由于病情较重,均死于脑疝。进行血管内栓塞治疗的病例中,术后复查造影108例动脉瘤不显影,14例栓塞90%,动脉通畅。结论血管内弹簧圈栓塞治疗动脉瘤破裂出血是一较满意治疗措施。Objective To analysis the rapeutic effect of intravascular embolism treatment on aneurysmal subarachnoid hemorrhage. Methods 130 patients with aneurysmal subarachnoid hemorrhage were treated by intravascular embolism from 2002 to 2005. Results 122 patients were detected by DSA and underwent intravascular treatment, 101 of which were cured well, 21 of which followed by neurological deficit. Eight cases died from cerebral hernia without intravascular treatment. Among cases with intravascular treatment, aneurysms with 108 cases were not developed by visualization at post - operation. Arteries for fourteen cases were embolismed by 90% and unobstructed. Conclusion Embolism treatment with aneurysmal subarachnoid hemorrhage was effective and safe.

关 键 词：动脉瘤 蛛网膜下腔出血 血管内栓塞 治疗 

分 类 号：R743.35[医药卫生—神经病学与精神病学] R653[医药卫生—临床医学]