可膨胀水凝胶弹簧圈栓塞颅内动脉瘤的临床研究  

Cfinical follow-up study of intracranial aneurysm occlusion with expandable hydrocoil

作　　者：黄志伟[1] 段传志[1] 汪求精[1] 王雪涛[1] 尹家和[1] 李铁林[1] 

机构地区：[1]南方医科大学珠江医院神经外科,广东神经外科研究所,广州510282

出　　处：《中华神经医学杂志》2008年第5期498-500,共3页Chinese Journal of Neuromedicine

摘　　要：目的观察可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤后的近期及远期疗效。方法对41例用可膨胀水凝胶弹簧圈栓塞的颅内动脉瘤（45个）患者进行随访，随访时间6～24个月，采用脑血管造影、CT脑血管成像、磁共振脑血管成像方法，了解颅内动脉瘤复发及并发症情况。结果41例中复发1例，死亡1例。术后并发脑梗死3例，动眼神经麻痹1例，脑积水2例。改良Rankin评分量表评为0级8例．1级19例，2级7例，3级3例，4级2例，5级和6级各1例。结论可膨胀水凝胶弹簧圈栓塞治疗颅内动脉瘤安全有效，对闭塞载瘤动脉有独特优势。处理小动脉瘤（〈5mm）时会有较高的并发症，栓塞时要谨慎。Objective To study the short-term and long-term effectiveness of intracranial aneurysm occlusion with expandable hydrocoil. Methods Forty-one patients with intracranial aneurysms （n=45） were treated by endovascular occlusion with expandable hydrocoil. Follow-up interviews in the forms ofDSA, CTA or MRA were conducted to the 41 patients within 6-24 months after the treatment to find out the tumor recurrence and complications. Results In the 41 patients, 1 died, 1 suffered from recurrence, 3 developed cerebral infarction, 1 got oculomotor paralysis, 2 got hydrocephalus. According to modified Rankin scale, grade 0 in 8 cases, grade 1 in 19, grade 2 in 7, grade 3 in 3, grade 4 in 2, grade 5 in 1 and grade 6 in 1. Conclusions Endovascular embolization with expandable hydrocoil is an effective treatment method for intracranial aneurysms, especially for parent artery occlusion, but it may be able to cause more complications in the treatment of small aneurysms （〈5 mm）, so the caution should be taken.

关 键 词：颅内动脉瘤 栓塞 治疗性 水凝胶弹簧圈 随访研究 

分 类 号：R651.12[医药卫生—外科学]