颅内血管重建术在复杂颅内动脉瘤治疗中的个体化应用  

Individuized treatment of complex intracranial aneurysms with intracranial revascularization

作　　者：曾而明[1] 洪涛[1] 徐春华[1] 唐斌[1] 

机构地区：[1]南昌大学第一附属医院神经外科,江西南昌330006

出　　处：《中国现代医学杂志》2015年第2期52-55,共4页China Journal of Modern Medicine

基　　金：国家十二五科技支撑计划(No:2011BAI08B06);江西省科技支撑计划(No:20121032)

摘　　要：目的探讨颅内血管重建术在复杂颅内动脉瘤治疗中个体化应用的必要性。方法回顾性分析2009年6月-2012年6月该院收治的16例行颅内血管重建术的复杂颅内动脉瘤患者的临床及随访资料。结果16例共18个动脉瘤,其中16个动脉瘤因处理动脉瘤需要行不同术式的颅内血管重建术,6个动脉瘤行移植血管重建,10个动脉瘤行原位血管重建。1例患者因移植血管闭塞致急性脑梗死,1例因肺部感染死亡,余患者预后良好。结论对于复杂颅内动脉瘤治疗,颅内血管重建术是一重要治疗手段;应根据颅内动脉瘤的具体情况选择不同的治疗方式。【Objective】 To define the safety and clinical value of complex aneurysm clipping under protection of revascularization. 【Methods】Totally 16 patients with an uncoilable intracerebral complex aneurysm operated on with revascularization between June, 2009 and June, 2012 were reported. The data were retrospectively collected from the patient records. Follow-up data were updated by telephone interview or outpatient service. 【Results】There were 18 aneurysms in total, among which 16 aneurysms were performed with revascularization. Postoperative cerebral angiography showed patency of the bypass in 15 patients and acute occlusion of the bypass in 1 patient. After the operation, 14 patients had a favorable functional outcome,1patient had coma with acute cerebral infarction and 1 patient died with pulmonary infection.【Conclusion】Individualized treatment with revascularization is an effective treatment strategy for complex intracranial aneurysms.

关 键 词：颅内动脉瘤 颅内血管重建术 手术治疗 

分 类 号：R651.1[医药卫生—外科学]