电解可脱弹簧圈联合微弹簧圈栓塞治疗脾动脉瘤的临床应用评价  

Application of combined guglielmi detachable coils and microcoils in embolization of splenic artery aneurysm

作　　者：李春孟[1] 卫任[2] 许永乐[2] 贾鑫[2] 郭伟[2] 刘小平[2] 马晓辉[2] 

机构地区：[1]丽水市人民医院血管外科,浙江丽水323000 [2]解放军总医院血管外科,北京100853

出　　处：《解放军医学院学报》2014年第1期60-62,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的探讨电解可脱弹簧圈（guglielmidetachablecoils，GDC）联合微弹簧圈栓塞治疗脾动脉瘤的可行性、安全性及操作要点。方法回顾解放军总医院血管外科2012年1月-2013年3月采用GDC联合微弹簧圈治疗8例脾动脉瘤患者的临床资料，其中2例脾动脉瘤位于脾动脉起始部，3例位于脾动脉中段，3例位于脾门处。瘤体平均直径（24±3．4）（20～28）mm。结果全部病例均一次性栓塞成功，共使用GDC33枚，普通弹簧圈58枚，未出现手术相关并发症。平均随访（11±4．5）（5～181个月，脾动脉瘤未见血流通过，无脾梗死发生。结论GDC结合微弹簧圈栓塞脾动脉瘤安全可行，远期效果需进一步随访观察。Objective To study the feasibility, safety and manipuniting points of combined guglielmi detachable coils （GDC） and microcoils in embolization of splenic artery aneurysm （SAA）. Methods Clinical data about 8 SAA patients who underwent embolization with combined GDC and microcoils in our hospital from January 2012 to March 2013 were retrospectively analyzed. SAA was located at the origin of splenic artery in 2 patients, at the middle segment of splenic artery in 3 patients, and at the hilus lienis in 3 patients. The average diameter of SAA was 24 ±3.4 mm （20 mm-28 mm）. Results The embolization was successfully achieved in all the patients, during which 33 GDCs and 58 microcoils were used without embolization-related complications occurred. The patients were followed up for an average period of 11±4.5 months （5-18 months） during which no blood flow and splenic infarction were observed. Conclusion Combined GDC and microcoils is a safe and feasible procedure for the embolization of SAA. However, its long-term effect needs to be further observed.

关 键 词：脾动脉瘤 电解弹簧圈 微弹簧圈 栓塞 

分 类 号：R657.6[医药卫生—外科学]