颅内动脉瘤破裂急性期血管内栓塞的疗效分析  

Efficiency of endovascular treatment of acute ruputed intracranial aneurisms

作　　者：赵诚[1] 李冰[1] 李宗敏[1] 沈立华[1] 

机构地区：[1]山东胶南市人民医院神经外科,胶南266400

出　　处：《中国实用神经疾病杂志》2006年第4期15-16,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析栓塞治疗急性破裂性颅内动脉瘤的疗效及相关影响因素。方法回顾自1994-4~2004-4栓塞治疗33例急性破裂颅内动脉瘤(72h)病人,分析动脉瘤几何形态学、位置、病情严重程度、栓塞材料等对栓塞效果的影响。结果Hunt-Hess分级I^II级I、II级I、V-V级者,预后良好率分别为86.9%、57.1%、0%。宽颈、窄颈动脉瘤的完全栓塞率分别为58%、76%。前交通动脉瘤、颈内动脉瘤、大脑中动脉瘤预后良好者分别为90.9%、66.7%、0%。结论动脉瘤的栓塞程度不仅与瘤颈有关,还受瘤体大小、动脉瘤位置的影响。而临床预后与Hunt-Hess分级呈负相关。Objective To investigate the efficiency and relevant factors of embolization of ruputed intracranial aneurysms Methods A retrospective study from Apt 1994 to Apt2004 of 33 cases with acute aneurismal subarachnoid hemorrhage treated by endovascular embolization were performed,and the forms,situs,seriousness of aneurisnas and the used materials were analysed. Results The ratio of good recovery was 89.6 % in Hunt-Hess Ⅰ-Ⅱ grade , while 57.1% and 0 % in grade Ⅲ, Ⅳ-Ⅴ respectively. The total occlusion obtained in 58 % wide-necked aneurysms , and 76 % in narrow-necked aneurysms. The ratio of good recovery was 90.9 % in ACA, while 66.7% and 0% in ICA, MCA respectively. Conclusion The aneurysm occlusion not only depends on the size of the neck,but also on the forms situs and size of aneurysms. The clinical outcome has a negative correlation with Hunt-Hess grade.

关 键 词：颅内动脉瘤 蛛网膜下腔出血 栓塞治疗 

分 类 号：R743.4[医药卫生—神经病学与精神病学]