可脱性弹簧圈栓塞治疗颅内破裂动脉瘤(附141例报告)  

Endovascular embolization of the ruptured intracranial aneurysms with detachable coils (a report of 141 cases)

作　　者：张海林[1] 张建生[1] 任军[1] 丁永忠[1] 李强[1] 

机构地区：[1]兰州大学第二医院神经外科,兰州730030

出　　处：《中国临床神经外科杂志》2010年第12期712-714,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的讨论可脱性弹簧圈血管内栓塞治疗颅内破裂动脉瘤的技术要点、疗效及并发症的防治。方法对141例颅内破裂动脉瘤采用单纯弹簧圈栓塞86例,球囊辅助弹簧圈栓塞24例,支架辅助弹簧圈栓塞31例。结果动脉瘤完全栓塞93例,栓塞95%31例,栓塞90%10例,栓塞〈90%5例,栓塞不成功2例。出院时恢复良好无神经功能障碍107例,轻度神经功能障碍24例,重度障碍7例,死亡3例。127例随访1-33个月,无再出血患者,9例再通。结论对颅内破裂动脉瘤采用可脱性弹簧圈血管内栓塞疗效可靠、微创、术后恢复快,是一种较为理想的治疗方法,早期栓塞及积极的术后处理可以降低其死亡率和致残率。Objective To explore the techniques and curative effects of endovascular embolization of ruptured intracraniala neurysms with detachable coils on them. Methods The endovascular embolization was performed in 141 patients with rupturedi ntracranial aneurysms, of whom, 86 received endovascular embolization only with the detachable coils, 24 with the balloons andd etachable coils, and 31 with the stents and detachable coils. Results Of 141 aneurysms, 93 were embolized by 100 %, 31 by 95 %, 10b y 90 %, 5 by less than 90% and 2 were unsuccessfully embolized. Three aneurysms ruptured again during the endovascular treatment.O f 141 patients, 107 were recovered well, 24 mildly disabled, 7 severly disabled and 3 patients died after the embolization. Of 127p atients followed up from 3 to 33 months, all the patients had no rebleeding and 7 had recurrent aneurysms. Conclusions Thee ndovascular embolization with detachable coils is a safe and effective method to treat the ruptured intracranial aneurysms. The deadr ate and disabled rate may be decreased by the early endovascular embolization and positive post-operative treatment in the patientsw ith ruptured intracranial aneurysms.

关 键 词：颅内动脉瘤破裂 栓塞 可脱性弹簧圈 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R814.42[医药卫生—临床医学]