24例相对宽颈前交通动脉瘤的血管内治疗  

Endovascular Treatment of 24 Relative Wide-Necked Anterior Communicating Artery Aneurysms

作　　者：邱传珍[1] 杨少春[1] 刘鹏[1] 凌峻[1] 王柏群[1] 

机构地区：[1]赣南医学院第一附属医院神经外科,江西赣州341000

出　　处：《武汉大学学报（医学版）》2013年第1期136-138,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨相对宽颈前交通动脉瘤的血管内治疗方法、手术技巧及治疗效果。方法:回顾性分析我科24例采用血管内治疗方法治疗的相对宽颈前交通动脉瘤,其中常规可脱弹簧圈技术6例,占总病例25%,球囊再塑形技术1例,占总病例4.2%,微导管辅助可脱弹簧圈技术1 7例,占70.8%。结果:24例患者共发现相对宽颈前交通动脉瘤24个,全部予以栓塞,其中栓塞率>95%21例(占87.5%),栓塞率85%-95%3例(占12.5%),无再次蛛网膜下腔出血,全部患者均恢复良好,治疗效果满意。结论:采用微导管辅助可脱弹簧圈技术治疗相对宽颈前交通动脉瘤,简单经济,安全有效,可获得满意效果。Objective. To investigate the therapeutic modality, surgical technique and therapeutic efficacy of the endovascular treatment of relative wide-necked anterior communicating artery aneurysms. Methods. The clinical data of 24 relative wide-necked anterior communicating artery aneurysms with endovascular treatment were retrospectively analyzed. Routine detachable coiling was used in 6 cases （25 %）, balloon remodeling in 1 case （4. 2%）, and micro-catheter assistive technology detachable coiling in 17 cases （70.8%）. Results： The thrombosis rate was 〉95% in 21 cases （87.5%）, and 85%-95% in 3 cases （12.5%）. All of the cases were cured and had no subarachnoid hemorrhage again. Conclusion. The micro catheter assistive technology was simple, economical, safe and effective for the treatment of relative wide-necked anterior communicating artery aneurysms.

关 键 词：前交通动脉瘤 宽颈动脉瘤 血管内治疗 

分 类 号：R651.21[医药卫生—外科学]