机械可脱式弹簧圈栓塞治疗颅内动脉瘤的评价  

Evaluation to Treatment of Intracranial Aneurysm with Mechanical Detachable Spiral

作　　者：王大明[1] 凌锋[1] 刘树山[1] 李萌[1] 缪中荣[1] 张鸿祺[1] 宋庆斌[1] 郝蔓春[1] 

机构地区：[1]北京医院介入神经放射学研究中心,100730

出　　处：《中国临床神经科学》2001年第2期112-113,116,共3页Chinese Journal of Clinical Neurosciences

摘　　要：目的 :评价机械可脱式弹簧圈 (MechanicalDetachableSpiral,MDS)栓塞治疗颅内动脉瘤。方法 :对 1995年 3月～ 1998年 7月利用MDS栓塞的 64例 66个颅内动脉瘤进行回顾性分析。结果 :66个动脉瘤中 ,10 0 %栓塞的 2 5个 ,占 3 7 9% (2 5 /66) ;95 %的 19个 ,占 2 8 8% ;90 %的 11个 ,占 16 7% ;80 %的 6个 ,占 9 1% ;<80 %的 5个 ,占 7 6%。 5 5个 (83 3 % )动脉瘤达 90 %以上栓塞。死亡 2例 (3 1% ) ,永久并发症 3例 (4 7% )。结论 :应用MDS进行囊内栓塞 。Aim:To evaluate the embolization treatment of intracranial aneurysms with mechanical detachable spiral (MDS). Methods:Sixty four intracranial aneurysm patients with 66 aneurysms,which were intrasaccularly embolized with MDS from March 1995 to July 1998, were analysed retrospectively.Results:Among 66 aneurysms, 100% occlusion was reached in 25 (37 9%, 25/66), 95% in 19 (28 8%), 90% in 11 (16 7%), 80% in 6 (9 1%) and less than 80% in 5 (7 6%) respectively, with mortality of 3 1% (2/64) and permanent mobidity of 4 7% (3/60). Conclusion:Embolization with MDS is one of the choices of the safe and effective treatments to intracranial aneurysms.

关 键 词：颅内动脉瘤 机械或脱式弹簧圈 栓塞治疗 MDS 

分 类 号：R739.41[医药卫生—肿瘤]