未破裂颅内动脉瘤72例临床分析  

Unruptured intracranial aneurysms：a clinical research of 72 cases

作　　者：符常涛[1] 陈治标[1] 陈谦学[1] 王龙[1] 李明昌[1] 许州[1] 王伟[1] 

机构地区：[1]武汉大学人民医院神经外科,430060

出　　处：《临床外科杂志》2014年第2期116-118,共3页Journal of Clinical Surgery

摘　　要：目的 探讨未破裂颅内动脉瘤的处理方式及其疗效,以指导临床治疗.方法 回顾性分析我科收治的72例未破裂颅内动脉瘤的患者,所有患者均行DSA或CTA明确诊断,采用血管内栓塞治疗、开颅手术夹闭或者观察三种治疗策略,对比分析其疗效.结果 血管内栓塞治疗15例,手术夹闭40例.出院时GOS评分5分血管内介入治疗组14例（93.3%）,开颅手术夹闭组31例（77.5%）.两组患者治疗后出院前行GOS评分经卡方检验无明显差异（P＆gt;0.05）.观察随诊处理17例,无变化15例,再出血2例.结论 根据未破裂动脉瘤的特点、患者自身状况及要求、就诊中心诊疗技术等决定未破裂动脉瘤的治疗方式,个体化治疗是最佳的治疗方案.Objective To discuss the management and its curative effect in unruptured intracranial aneurysms（UIAs） and guide the clinical treatment. Methods A retrospective analysis was made in 72 patients with UIAs. All patients were diagnosed by digital subtraction angiography or computed tomography angiography. The patients were managed by intravascular embolization, surgical clipping or conservative observation for efficacy analysis. Results There were 15 cases in embolization group and 40 cases in clipping group. At discharge, 14 cases （ 93.3 % ） in embolization groups and 31 cases （ 77.5 % ） in clip- ping group achieved 5-point in GOS score. The chi-squared test showed no difference between the two groups （P 〉 0.05 ）. For 17 patients with observation and follow-up, no changes occurred in 15 patients and rebleeding occurred in 2 patients. Conclusion The management of unruptured aneurysms is decided according to the characteristics of aneurysms, the patients~ condition and requirement and the technology of medical center and individualized treatment is the best strategy.

关 键 词：未破裂颅内动脉瘤 介入栓塞 手术 个体化治疗 

分 类 号：R739.41[医药卫生—肿瘤]