眼科首诊的颅内动脉瘤12例分析  

作　　者：修彩梅[1] 吴鑫[1] 刘建民[1] 

机构地区：[1]山东烟台毓璜顶医院眼科,264000

出　　处：《介入放射学杂志》2004年第S1期50-51,共2页Journal of Interventional Radiology

摘　　要：目的　报道 12例以无痛性动眼神经麻痹为首发症状的颅内动脉瘤患者 ,采用血管内栓塞治疗的效果和体会。方法　所有患者确诊后 ,采用电解可解脱弹簧圈栓塞治疗 ,其中后交通动脉瘤 11例 ,颈内动脉海绵窦段动脉瘤 1例。结果　 12例中 ,动脉瘤完全栓塞 8例 ,占 6 6 .7%。栓塞 95 % 4例 ,占33.3%。随访 2年 ,11例动眼神经功能完全恢复 ,1例不完全恢复。结论　血管内栓塞治疗动脉瘤效果可靠。Objective To report the experience of endovascular embolizatian therapy of 12 cases of intracranial aneurysms whose first symptem was painless oculomotor palsy without pain . Methods all the patients were treated by Guglielmi detachable coils after diagnosis of which include 11 cases of PcomA aneurysms and 1 case of ICA of cavernous sinus aneurysm. Results 8 of 12 cases(66.67%) were completely embolized ,4 cases (33.33%) were 95% embolized. During clinical follow-up for 2 years,11 patients function of oculomotor nerve were completely recovered,1 patient was partially recovered. Conclusions the effection of endovascular embolization for aneurysms is valid.

关 键 词：动脉瘤 栓塞 动眼神经麻痹 电解可解脱弹簧圈 

分 类 号：R739.4[医药卫生—肿瘤]