椎动脉颅内段动脉瘤的治疗方法分析  

Neurosurgical and endovascular treatment of intracranial vertebral arteries aneurysms (a report of 21 cases)

作　　者：燕景锋 陈金龙[2] 支兴龙[3] 

机构地区：[1]东营市人民医院神经外科 [2]厦门市第三医院神经外科 [3]首都医科大学宣武医院神经外科

出　　处：《中国临床神经外科杂志》2011年第2期81-83,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨椎动脉颅内段动脉瘤治疗方法的选择。方法 21例椎动脉颅内段动脉瘤患者中7例采用手术治疗(其中采用开颅手术动脉瘤直接夹闭4例,搭桥术3例),14例经血管内治疗。结果预后良好17例,差4例,无死亡病例。结论血管内介入治疗及外科手术治疗能使绝大部分椎动脉颅内段动脉瘤得以治愈,但应遵循个体化治疗方案方能取得满意治疗效果。Objective To explore the different methods to treat intracranial vertebral arteries aneurysms. Methods The clinical datas of 21 patients with intracranial vertebral arteries aneurysms, who underwent surgery or endovascular embolization from January, 1998 to December, 2006, were analyzed retrospectively. Of 21 patients with intracranial vertebral arteries aneurysms, 7 were treated by surgery including clipping the aneurysmal necks in 4 patients and bypass of occipital artery-posterior inferior eerebellar artery in 3 patients, and 14 were treated by endovascular embolization. Results According to GOS, the prognoses were good （GOS, 4-5 points） in 17 patients and bad （GOS, 2-3 points） in 4 patients. No patients died. The following-up from 1 to 3 months after the treatment showed that there was not rebleeding in all the patients. Conclusion The intraeranial vertebral arteries aneurysms may be treated by surgery or endovaseular embolization, but which of them used for treating the intracranial vertebral arteries aneurysms should individually selected according the patients＂ conditions.

关 键 词：椎动脉 动脉瘤 手术治疗 血管内治疗 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.12[医药卫生—临床医学]