2例微弹簧圈栓塞治疗颅内巨大动脉瘤  

Treatment of 2 Cases of Giant Intracranial Aneurysms by Embolization of Microcoil

作　　者：孙敏[1] 高鸿[1] 苏平[1] 惠金明[1] 谷震[1] 

机构地区：[1]昆明市第一人民医院神经外科,昆明650011

出　　处：《昆明医学院学报》2001年第2期56-58,共3页Journal of Kunming Medical College

摘　　要：采用神经安定加局麻及全身肝素化条件下 ,以Seldinger技术 ,插入 3F/2Fmagic微导管 ,将微弹簧圈送入动脉瘤内进行栓塞 .结果 :例 1动脉瘤栓塞 95 %后 ,在放最后一个栓子时发生误栓 ,经全身肝素化治疗、扩血管、抗血管痉挛及抗脑水肿治疗 1周后 ,病人仍无意识、语言及肢体等神经功能障碍 ,13d后行DSA复查见动脉瘤栓塞消失 ,误栓的微弹簧圈移位于大脑中动脉分叉部及额顶升支动脉处 ,大脑中动脉各分支动脉显影通畅 ;例 2动脉瘤栓塞 70 % ,半年后DSA复查动脉已闭塞 .结果表明 :微弹簧圈栓塞治疗颅内动脉瘤是一种创伤小 ,病人恢复快 ,安全 ,有效的治疗手段 .Microcoil was transported into IA and our Seldingers technique 3F/2F microcatheter was cathetered under the condition of neuroleptanalgesia and local anesthesia and holo-heparinization. Result: in one case, even though embolization occurred when IA embolization was 95% degree, the last embolus was set down, the patient had not any nerves dysfunction such as unconsciousness treated one week by holo-heparinization, enlarging blood vessel anti-angiospasm anti-cerebral edema. After 13 days, DSA rechecking revealed that IA disappeared, microcoil of amiss embolization transferred into fork of middle cerebral artery and fronto-parietal ascending artery; branches of middle cerebral artey developed fluent images. In another case, the degree of IA embolization reached 70%, after half a year DSA rechecking revealed IA had blocked up. Conclusion: Therapy for microcoil embolizing IA is a micro-wounded, secure and effective therapeutic tool, moreover, patents recover quickly.

关 键 词：颅内动脉瘤 微弹簧圈 栓塞治疗 

分 类 号：R739.41[医药卫生—肿瘤]