弹簧圈栓塞治疗破裂前循环动脉瘤的疗效评价  

Efficacy of coil embolization in the treatment of ruptured anterior circulation aneurysms

作　　者：刘科峰[1] 王有刚[1] 王健[1] 龚坚[1] 吴智远[1] 黄武[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院,江苏常州213000

出　　处：《实用临床医药杂志》2013年第13期51-53,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨弹簧圈栓塞治疗破裂前循环动脉瘤的临床疗效。方法回顾性分析20例破裂前循环动脉瘤患者的临床资料,均给予可解脱弹簧圈栓塞治疗动脉瘤。结果 20例动脉瘤患者均成功完成栓塞,其中16例窄颈动脉瘤患者给予可解脱弹簧圈栓塞,4例宽颈动脉瘤患者给予支架辅助弹簧圈技术栓塞。术后即刻造影结果显示,完全栓塞19例,瘤颈残留1例,部分栓塞0例。无出血和血栓等并发症发生。16例动脉瘤随访3~12个月,无动脉瘤复发。改良Rankin评分（MRS）显示,0分10例,1分9例,2分1例。结论弹簧圈栓塞治疗前循环动脉瘤是一种安全、有效的方法,而提高动脉瘤的致密栓塞率是防止复发的关键因素。Objective To study the efficacy of coil embolization in the treatment of ruptured anterior circulation aneurysms.Methods A retrospective analysis was made in 20 patients with ruptured anterior circulation aneurysms.All patients received detachable coil embolization for the treatment of aneurysms.Results All 20 patients received successful embolizations.Among them,16 patients with narrow neck aneurysm received detachable coil embolization,and 4 patients with wide neck aneurysm to received coil embolization with auxiliary stent.The immediate angiography results showed that 19 patients had complete embolism,one patient had residual neck,and no patient had residual aneurysm.No bleeding and thrombotic complications occurred.During the follow-up period of 3 to 12 months in 16 cases,no recurrence of aneurysm was found.The modified Rankin scale（MRS）score was 0 in 10 cases,1 in 9 cases and 2 in just one case.Conclusion Coil embolization is a safe and effective method in the treatment of anterior circulation aneurysms.Improving the density of aneurysm embolization is the key factor to prevent recurrence.

关 键 词：颅内动脉瘤 前循环动脉瘤 破裂 血管内介入治疗 弹簧圈栓塞 

分 类 号：R543.1[医药卫生—心血管疾病]