颅内动脉瘤破裂急性期血管內介入治疗临床分析  

Evaluation of Ruptured Intracranial Aneurysm Treated by Endovascular Interventional Therapy

作　　者：雷鸣[1] 丛雪枫[1] 卞葳 赵欣[1] 曹英海[1] 

机构地区：[1]沈阳市第一人民医院神经外科,辽宁沈阳110041

出　　处：《中国神经免疫学和神经病学杂志》2007年第2期109-110,共2页Chinese Journal of Neuroimmunology and Neurology

摘　　要：目的探讨应用血管内介入栓塞技术治疗急性期颅内动脉瘤破裂的效果。方法回顾性分析2002-2006作者医院40例脑动脉瘤患者在出血72h内行栓塞治疗的效果。40例患者均经脑血管造影DSA检查确诊,且于出血72h内完成血管内介入栓塞治疗,根据动脉瘤的大小形状选用合适的弹簧圈将瘤腔逐步填塞充分。6例宽颈动脉瘤应用支架结合弹簧圈栓塞,4例宽颈动脉瘤应用球囊瘤颈成形弹簧圈栓塞术,1例应用双导管技术。结果40例接受治疗的患者中共47个动脉瘤中,100%完全栓塞39个,80%～90%栓塞3个,50%～60%栓塞2个,栓塞失败2个,多发动脉瘤未作处理1个。结论急性期颅内破裂动脉瘤应用血管内介入栓塞治疗效果好,安全可靠,可防止再出血及并发症,明显降低患者死亡率和致残率。Objective To explore the clinical value of endovascular embolization treatment for the patients with ruptured intracranial aneurysm. Methods Retrospectively analyzed the clinical data of 40 patients with ruptured intracranial aneurysm diagnosed by computed tomographic angiography （CTA）, magnetic resonance angiography （MRA） or digital subtraction angiography （DSA）. All the patients, had no contraindication, underwent endovascular embolization in 72 h. Results Forty patients with 47 intracranial aneurysm, 39 aneurysm were succeeded in 100% embolization, 3 in 80% ~90% embolization, 2 in 50% ～60% embolization, 2 failed with embolization, 1 multiple aneurysms had no treatment. Conclusions Endovascular embolization treatment is an effective method for ruptured intracranial aneurysm to avoid further hemorrhage.

关 键 词：介入治疗 颅内动脉瘤 破裂 

分 类 号：R746.1[医药卫生—神经病学与精神病学]