后交通动脉瘤所致动眼神经麻痹患者血管内栓塞治疗  

The curative effect of intravascular embolotherapy on oculomotor nerve palsy caused by posterior communicating aneurysms

作　　者：高俊红[1] 张国栋[1] 

机构地区：[1]河南新乡市中心医院神经外二科,新乡453000

出　　处：《中国实用神经疾病杂志》2013年第16期23-25,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨后交通动脉瘤所致的动眼神经麻痹患者血管内栓塞治疗的疗效。方法回顾性分析21例由后交通动脉瘤(PComAA)致动眼神经麻痹患者,均行后交通动脉血管内栓塞术,评估年龄、是否存在蛛网膜下腔出血、动脉瘤大小、术前动眼神经麻痹的严重程度和症状出现后至手术时间。结果治疗后动眼神经麻痹症状改善17例(80.9%),其中完全康复14例(66.7%),部分恢复3例(14.3%),4例无恢复(19.0%)。结论血管内栓塞术对治疗后交通动脉瘤所致的动眼神经麻痹患者有较好疗效。Objective To investigate the curative effect of intravascular embolotherapy on oculomotor nerve palsy caused by posterior communicating aneurysms.Methods 21 patients with oculomotor nerve palsy caused by posterior communicating aneurysms were retrospectively analyzed and these patients were treated by the intravascular embolotherapy of posterior communicating artery.The following indexed were assessed： the patient＇s age,presence of subarachnoid hemorrhage,aneurysm size,preoperative severity of symptoms,and timing of treatment after onset of symptoms.Results After treatment,the condition of patients with oculomotor nerve palsy was the symptom improvement（17 cases,accounting for 80.9%）,complete recovery（14 cases,accounting for 66.7%）,partial recovery（3 cases,accounting for 14.3%）,and no recovery（4 cases,accounting for 19.1%）.Conclusion The intravascular embolotherapy has a better effect on treating oculomotor palsy caused by posterior communicating aneurysms.

关 键 词：动眼神经麻痹 后交通动脉瘤 血管内治疗 

分 类 号：R774.76[医药卫生—眼科]