颅内宽颈动脉瘤血管内栓塞治疗效果观察  

Embolotherapy in blood vessels for wide aneurysm of carotid artery intracalvarium

作　　者：曹英海[1] 雷鸣[1] 卞威[1] 赵欣[1] 王刚[1] 

机构地区：[1]沈阳市第一人民医院神经外科,辽宁沈阳110041

出　　处：《中国当代医药》2011年第30期85-86,共2页China Modern Medicine

摘　　要：目的:探讨颅内宽颈动脉瘤的血管内治疗方法和疗效。方法:对48例颅内宽颈动脉瘤的血管内介入治疗进行回顾分析。结果:单纯应用可脱性弹簧圈栓塞治疗31例,应用双微导管技术栓塞治疗3例,应用球囊辅助技术治疗9例,应用颅内支架结合弹簧圈栓塞治疗5例。其中100%栓塞38例,90%以上栓塞7例,90%以下栓塞3例。48例术后随访6～12个月,无动脉瘤复发及再出血。结论:应用综合血管内治疗方法可对难以治疗的颅内宽颈动脉瘤进行较好救治。Objective： To explore the endovascular therapeutic method and curative effect of wide aneurysm of carotid artery intracalvarium. Methods： Retrospective analyzed the blood vessel interventional therapy of wide aneurysm of carotid artery in all forty-eight patients. Fourteen patients were treated with spring coil embolotherapy which could be taken off. Results： 31 cases were treated with could be taken off sex spring circle embolism, 3 cases were treated with embolotherapy using double microtubular technique. The balloon auxiliary treatment technology application in 9 cases, application of intracranial stents combined with spring cirde embolization in 5 cases. 38 patients were embolised 100%, 7 cases were embolised more than 90%, 3 cases were embolised belaw 90%. Following up six to twelve monthes after operation there were no subarachnoid hemorrhage in the forty-eight patients. Conclusion： Synthetic endovascular treatment can remedy the wide aneurysm of carotid artery intracalvatium more better than before.

关 键 词：颅内宽颈动脉瘤 血管内治疗 双微导管 球囊 支架 

分 类 号：R739.41[医药卫生—肿瘤]