血管内栓塞术治疗颅内动脉瘤的临床效果观察  

作　　者：韩华强[1] 黎亮[1] 陈德[1] 

机构地区：[1]九〇三医院医院神经外科,621700

出　　处：《世界中医药》2015年第A01期207-207,共1页World Chinese Medicine

摘　　要：目的探讨血管栓塞术治疗颅内动脉瘤的临床效果.方法：颅内动脉瘤70 例患者分为观察组与对照组.其中观察组40 人,进行血管内栓塞手术.对患者应用微导管技术,经股动脉穿刺插管,确定动脉瘤的位置、大小、形状等,放入电解可脱式弹簧圈,复查血管照影保证动脉瘤全部消失,不再显影,载瘤动脉保持畅通,缓慢拔出导管,结束手术治疗.对照组30 人,进行传统的夹闭治疗手术.结果：观察组40 例患者在进行血管内栓塞手术后,38 例治疗成功,1 例有好转,1 例出现一次性偏瘫.栓塞后立刻行脑血管造影表示动脉瘤腔填塞满意,手术无死亡病例.对照组30 例夹闭手术中8 例完全康复、14 例手术后恢复良好,2 例因手术后出血再次手术,2例出现动眼神经麻痹症,2 例死亡.经过治疗,观察组评分躯体功能、角色状态、社会功能、心理健康、疼痛、精力、体力,生存质量评分情况均优于对照组,差异有统计学意义（P〈0.05）.结论：血管内栓塞手术在治疗颅内动脉瘤上存在一定优势,可以广泛临床应用.Objective To investigate the clinical effect of transcatheter arterial embolization in the treatment of intracranial aneurysms. 70 patients in our hospital in 2011, to June to 2014 December for the treatment of intracranial aneurysm were divided into observation group and control group. The observation group of 40 people, of endovascular embolization operation. For patients with microcatheter technique, after femoral artery puncture intubation, determine the position, shape, size of aneurysm, into the electrolytic detachable coil, follow- up angiography to ensure the aneurysm disappeared, no longer developing, the parent artery smooth, slowly pulling out the catheter, the end of operation treatment. The control group of 30 people, is the traditional clipping in the treatment of operation. Results in the observation group, 40 patients in endovascular embolization after operation, 38 cases were treated successfully, 1 cases improved, 1 cases of one- off hemiplegia. Immediately after embolization of cerebral angiography aneurysm obliteration said satisfactory operation, no death case. A control group of 30 cases of clipping operation in 8 cases recovered completely, 14 cases recovered well after operation, 2 cases with operation of bleeding after operation, 2 cases appeared oculomotor nerve paralysis, 2 cases of death. After treatment, the observation group were(71.3 ± 6) physical function, role status(78.1 ± 6.4), social function(68.6 ± 6.5), mental health(80.2 ± 7.3), pain(76.5 ± 5.5),(78.8 ± 6.7) energ y, physical strength(68.1 ± 6.5), quality of life score higher than the control group(63.2 ± 5.5) physical function, role status(69.8 ± 6.2), social function(60.3 ± 6.2), mental health(73.1 ± 7), pain(65.7 ± 5.4),(67.4 ± 6.2) energy, physical strength(57.9 ± 6.3), the difference was statistically significant( P<0.05) conclusion endovascular embolization operation has certain advantages in the treatment of intracranial aneurysm, and can be widely clinical application.

关 键 词：颅内动脉瘤 血管内栓塞 电解可脱性弹簧圈 

分 类 号：R651.12[医药卫生—外科学]