颅内多发性动脉瘤的显微手术及血管内治疗  

Microsurgery and endovascular embolization of multiple intracranial aneurysms

作　　者：丁建军[1] 高永中[1] 伍健明[1] 廖宇钦[1] 陈保东[1] 蒋太鹏[1] 

机构地区：[1]深圳市第二人民医院神经外科,518035

出　　处：《中国临床神经外科杂志》2011年第10期590-591,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内多发性动脉瘤的临床特点及其治疗。方法回顾分析我院2001年2月至2011年8月收治的58例颅内多发性动脉瘤患者的临床资料。显微手术夹闭49例,血管内栓塞治疗7例,手术联合栓塞治疗2例。结果 58例病人中,恢复良好45例,轻残7例,重残3例,死亡3例。结论显微手术夹闭及血管内栓塞均是治疗颅内多发性动脉瘤的可靠且有效的方法。根据患者的病情,选择合适的治疗方案,可以提高颅内动脉瘤患者的疗效。Objective To explore the characteristics and treatment of multiple intracranial aneurysms （MIA）. Methods The clinical data of 58 patients with MIA, of whom, 49 underwent microsurgery, 7 received endovascular embolization, and 2 were treated by the microsurgery combined with embovascular embolization from February, 2001 to August, 2011, were analyzed retrospectively. Results Of 58 patients, 45 were recovered well, 7 lightly disabled, 3 seriously disabled and 3 died. Conclusions Microsurgical clipping and endovascular embolization are all the reliable and effective method to treat MIA. The therapeutic method proper for the patient ’ s condition can improve the prognosis in the patients with MIA.

关 键 词：颅内多发性动脉瘤 显微手术 血管内栓塞 

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]