血管内栓塞治疗颅内动脉瘤48例临床分析  

Endovascular interventional therapy in intracranial aneurysm： a report of 48 cases

作　　者：肖哲[1] 袁军[1] 韩天旺[1] 林绿标[1] 蔡楚伟[1] 林良山[1] 

机构地区：[1]汕头大学医学院第一附属医院神经外科,汕头515041

出　　处：《中华神经医学杂志》2011年第10期1070-1072,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨血管内栓塞治疗颅内动脉瘤的疗效。方法回顾性分析汕头大学医学院第一附属医院神经外科自2001年1月至2009年12月经血管内栓塞治疗的48例颅内动脉瘤患者（共53个动脉瘤1的临床资料和疗效。结果本组颅内动脉瘤成功栓塞51个，其中100％栓塞40个，95％栓塞6个，90％栓塞5个：栓塞失败2个，改为二期栓塞治疗。术中动脉瘤破裂2例，无术中死亡病例。46例患者随访6～12个月，CTA或DSA检查显示2例动脉瘤复发，2例留下重度残疾，5例有轻度神经功能缺失症状，其余均恢复良好。结论颅内破裂动脉瘤采用可脱性弹簧圈进行血管内栓塞治疗具有微创、安全等优点，个体化栓塞及有效的术后处理能改善患者的预后。Objective To investigate the effect of endovascular interventional therapy on intracranial aneurysm. Methods We retrospectively analyzed the clinical information and treatment efficacy of 48 patients （53 aneurysms） experienced interventional embolism therapy; these patients were admitted to and received treatment in our hospital from January 2001 to December 2009. Results Among the 53 aneurysms of 48 patients, 40 aneurysms were obliterated completely, 6 aneurysms 95% obliterated, 5 aneurysms 90% obliterated and 2 aneurysms failed; 2 aneurysms ruptured and no death was noted during the operation. Six to 12 months after the operation, follow-up of the 46 patients indicated that 2 were recurred under CMA or DSA; 2 was severely disabled; 5 had mild neurological deficits; and the other enjoyed good results. Conclusion Endovascular embolization of aneurysms is a minimally invasive method with low risk; individualized embolism therapy can improve the prognosis.

关 键 词：颅内动脉瘤 栓塞 治疗性 弹簧圈 

分 类 号：R739.41[医药卫生—肿瘤]