前交通微小动脉瘤11例介入栓塞治疗体会  

Traffic small aneurysms before 11 cases of interventional embolization

作　　者：袁璞[1] 张建勇[1] 刘保华[1] 朱宗锦[1] 

机构地区：[1]江苏省宿迁市人民医院神经外科,江苏宿迁223800

出　　处：《医药前沿》2015年第6期68-69,共2页Journal of Frontiers of Medicine

摘　　要：目的：探讨前交通微小动脉瘤（≤3．0mm）介入治疗的效果、安全性及技术要点。方法：回顾性分析2009年1月-2013年10月我科室收治的前交通微小动脉瘤患者11例，其中1例宽颈动脉瘤行球囊辅助弹簧圈栓塞，其余均行单纯弹簧圈栓塞。结果：10例患者中弹簧圈成功栓塞，且术中均未发生破裂，造影均证实达到致密填塞；术后复查CT示颅内无血肿，5～14天出院，出院时GOS评分5分9例，4分1例。3—6月后，6名患者行全脑血管造影复查，均显示填塞满意，无造影剂在瘤腔内显影。1例患者术中出现动脉瘤破裂，术后昏迷，家属放弃治疗，自动出院，随访患者出院后数日死亡。治疗有效率达91％。结论：术前评估充分，术中操作精细，灵活应用各种栓塞手术技巧，选用适合的栓塞材料，可以明显降低栓塞手术风险，提高治疗的安全性和有效性。Objective Discuss traffic small aneurysms （3.0 mm） or less before the effect, safety and technical key points of interventional treatment. Methods Retrospective analysis in January 2009 - in October 2013, I admitted before the traffic department of tiny 11 cases including 1 case of wide neck aneurysm aneurysm patients line balloon auxiliary spring coil embolization, the rest were pure spring coil embolization. Results Spring coil embolization, success in 10 patients and has not been intraoperative fracture, angiography confirmed achieve dense packing;, Postoperative CT review of intracranial hematoma, 5 -14 days out of the hospital, the GOS score respective 5 in 9 cases, 4 in 1 case. Conclusions Preoperative assessment, intraoperative careful operation, flexible application of various embolism operation skills, choose suitable embolism materials, embolism operation can significantly reduce the risk and improve the safety and efficacy of treatment.

关 键 词：微小动脉瘤 介入栓塞 疗效 

分 类 号：R730.5[医药卫生—肿瘤]