前交通动脉瘤破裂急性期的血管内栓塞治疗  

Endovascular embolization in the treatment of acute ruptured anterior communicating artery aneurysms

作　　者：钟伟健[1] 邓其峻[1] 赵庆顺[1] 王辉[1] 彭海萍[1] 

机构地区：[1]广东省佛山市第一人民医院神经外科,528000

出　　处：《岭南现代临床外科》2009年第2期134-135,142,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨血管内栓塞治疗前交通动脉瘤的方法,技术特点及疗效。方法回顾性分析应用血管内栓塞治疗的54例破裂前交通动脉瘤患者的临床资料。结果54例中成功栓塞53例,其中32例100%栓塞,19例95%栓塞,2例90%栓塞;3例出现严重血管痉挛;2例死于脑疝及严重血管痉挛继发脑梗塞。随访6～24个月,无术后再出血病例。结论血管内栓塞是治疗前交通动脉瘤的一种微创、相对安全而有效的方法。Objective To explore the method,technical feature and curative effects of endovascular emblozation for the treatment of anterior communicating artry aneurysm. Methods The clinical data of 54 cases with acute ruptured anterior communicating artery aneurysms treated by endovascular embolization were retrospectively analyzed. Results Interventional andovascular embolizations were performed successfully in 53 cases. Among them,32,19 and 2 cases were emblolized in 100%, 95% and 90% respectively. Severe vasospasm was seen in 3 cases. Two cases died from cerebral hernia and secondary cerebral infarction following embolization. No rebleeding case was found during a follow-up period of 6±24 months after-embolization. Conclusions Endovascular embolization was a minimally invasive, relatively safe and effective method for the treatment of ruptured anterior communicating artery aneurysm.

关 键 词：前交通动脉瘤 血管内栓塞 

分 类 号：R651.1[医药卫生—外科学]