儿童颅内动脉瘤的介入治疗  

Interventional Treatment of Intracranial Aneurysm in Children

作　　者：范国平[1] 俞炬明[1] 钟伟兴[1] 彭海腾[1] 张永平[1] 朱铭[1] 

机构地区：[1]交通大学医学院附属新华医院放射科,上海200092

出　　处：《放射学实践》2008年第10期1150-1152,共3页Radiologic Practice

摘　　要：目的:评价介入栓塞治疗儿童颅内动脉瘤的疗效和安全性。方法:分析6例儿童颅内动脉瘤病例,男4例,女2例。3例为急性蛛网膜下腔出血(1例前交通动脉瘤,2例后交通动脉瘤),1例儿童颅脑外伤后蛛网膜下腔出血,1例儿童外伤后硬膜下出血伴后颅窝血肿,1例先天性心脏病室间隔缺损(VSD)肺部感染并发脑出血。Hunt和Hess分类:5例为I级,1例为Ⅱ级。结果:采用可脱性微弹簧圈(GDC)或NBCA经DSA行栓塞治疗,6例均成功,无并发症。结论:儿童颅内动脉瘤虽属罕见,但介入栓塞治疗儿童颅内动脉瘤安全而有效,长期预后则有待于随访观察。Objective：To evaluate the effect of interventional embolization therapy of intraeranial aneurysm in pediat ric patients. Methods： Six cases, four males and two females, with intraeranial aneurysm were analyzed. Three of them were complicated with acute subarachnoid hemorrhage （SAH） （One was anterior communicating artery aneurysm and two were posterior communicating artery aneurysm）. One was complicated with acute subarachnoid hemorrhage after trauma. One showed subdural hematoma with posterior fossa hemotoma after trauma. One had congenital heart disease with VSD that showed pulmonary infection with brain hemorrhage. The symptoms and signs were nonspecific and the diagnoses were made by digital subtraction angiography （DSA）. According to Hunt and Hess＇ grading： five patients were grade Ⅰ ,and one was grade Ⅱ . Results： All of the cases received interventional embolization therapy with Guglielmi detachable coil （GDC） or NB CA,neither death nor complication occurred. Conclusion： Though intracranial aneurysm is rare in childhood, endovascular treatment of intracranial aneurysms by interventional embolization therapy is effective and safe in pediatric patients,but the long-term effect has to be confirmed by follow-up study in the future.

关 键 词：儿童 脑肿瘤 介入治疗 

分 类 号：R748[医药卫生—神经病学与精神病学]