颅内动脉瘤的介入治疗进展  

Progress of the interventional treatment of intracranial aneurysms

作　　者：王永祥[1] 罗俊生[1] 霍小川[1] 关宁[1] 

机构地区：[1]辽宁医学院附属第一医院神经外科,辽宁锦州121001

出　　处：《解剖科学进展》2010年第4期377-379,381,共4页Progress of Anatomical Sciences

摘　　要：颅内动脉瘤是最常见的脑血管病之一,其发病率仅次于脑梗塞和高血压脑出血居第3位,是临床上引起蛛网膜下腔出血的主要原因,其致残率、死亡率都很高。传统的治疗方法是开颅行动脉瘤夹闭手术,近年来随着各种技术的发展,自从用可脱乳胶球囊经血管内介入治疗外伤性颈内动脉海绵窦瘘病例成功报道以来,颅内动脉瘤的介入治疗以其手术损伤小、疗效好、恢复快的特点在动脉瘤的治疗手段中占领了重要地位,同时由于消费高、复杂动脉瘤的介入治疗难度大等缺点也使患者只能行开颅夹闭术。本文就动脉瘤介入治疗的发展历程,治疗方法,治疗材料以及新手段新技术展开阐述。Intracranial aneurysm is one of the most common brain diseases, whose incidence is in the third place after hypertensive cerebral hemorrhage and cerebral infarction, and is the main cause of the clinical subarachnoid hemorrhage with serious disability and mortality. Traditional treatment is surgical aneurysm craniotomy clipping surgery, although detachable latex balloon through the endovascular treatment of traumatic carotid-cavernous fistula cases was reported successfully, the interventional treatment of intracranial aneurysm has been utilized as it has better curative effect and rapid recovery characteristics, but it is substituted sometimes by craniotomy clipping surgery due to its high consumption and difficult interventional treatment. In this review, the development process of aneurysm treatment and new technologies and their advantages are disscussed.

关 键 词：血管内介入治疗 颅内动脉瘤 外伤性颈内动脉海绵窦瘘 蛛网膜下腔出血 开颅夹闭术 高血压脑出血 治疗方法 脑血管病 

分 类 号：R739.41[医药卫生—肿瘤]