可脱性微弹簧圈血管内栓塞治疗颅内动脉瘤的临床价值  

Clinical Value of Detachable Micro-sprung Coil in Endovascular Embolization Treatment of Intracranial Aneurysms

作　　者：杨金炜[1] 李冠海[1] 孙鸣[2] 独建库[1] 

机构地区：[1]解放军150医院介入科,河南洛阳471031 [2]解放军150医院神经内科,河南洛阳471031

出　　处：《医疗卫生装备》2012年第5期68-69,共2页Chinese Medical Equipment Journal

摘　　要：目的:评价可脱性微弹簧圈血管内栓塞治疗颅内动脉瘤的临床价值及操作技术。方法:选择并回顾性总结分析56例颅内动脉瘤患者病例,共发现动脉瘤63例,前交通动脉瘤28例,后交通动脉瘤25例,颈内动脉岩段动脉瘤3例,在全麻下将可脱性微弹簧圈经微导管送入动脉瘤内,诱发血栓形成并最终使动脉瘤闭塞,并保持载瘤动脉通畅。结果:1例因术中过度栓塞造成载瘤动脉血流略显受阻,1例略有神经功能障碍,经治疗后均恢复正常;1例术中动脉瘤破裂,经继续栓塞止血成功;其余53例患者中动脉瘤栓塞后无再出血,临床症状消失。Objective To evaluate the clinical value and operating techniques of detachable coil in endovascular embolization treatment of intracranial aneurysms.Methods Fifty -six patients with intracranial aneurysms were analyzed retrospectively,and 63 intracranial aneurysms were found,of which 28 were anterior communicating artery aneurysm,25 were posterior communicating artery aneurysm,and 3 were petrous internal carotid artery aneurysm.Under general anesthesia,the detachable coil was put into the aneurysm via a catheter,which was predisposing to the thrombosis and eventually made the aneurysm occlusive,and in the meanwhile maintained the parent artery patent.Results The parent artery hemodynamics of 1 case was slightly blocked due to the excessive embolism,1 case showed slight nerve dysfunction, both of them returned to normal after treatment.The aneurysm of 1 case ruptured intraoperatively,the hemostasia of which succeeded by the continued embolization.The other 53 cases were not rebleeding after the aneurysm embolization,and the clinical symptoms disappeared.Conclusion The detachable coil can effectively occlude cerebral aneurysm,which is a minimally invasive,safe,reliable,with significant clinical effect,and accepted by patients and families treatment method.

关 键 词：微弹簧圈 栓塞 颅内动脉瘤 

分 类 号：R318.6[医药卫生—生物医学工程] R739.41[医药卫生—基础医学]