复发颅内动脉瘤的影响因素及治疗  

The possible causes and countermeasures of recurrence after intracranial aneurysm embolization

作　　者：李百升[1] 祝刚[1] 晏广[1] 罗洪海[1] 李志平[1] 黄小山[1] 

机构地区：[1]广东惠州市中心人民医院,惠州516001

出　　处：《河南外科学杂志》2016年第2期5-6,共2页Henan Journal of Surgery

摘　　要：目的探讨血管内介入栓塞治疗后颅内动脉瘤复发的可能原因及治疗。方法收集2007-01-2012-07间惠州市中心人民医院神经外科收治的159例罹患颅内动脉瘤且行血管内介入栓塞治疗的患者的临床资料,回顾性分析对复发颅内动脉瘤病例的分布特征并总结其治疗策略。结果 159例入选对象中,栓塞治疗后颅内动脉瘤复发病例7例(7/159,4.4%),复发病例中,年龄均<60岁,均为宽颈动脉瘤者,其中后交通动脉瘤5例,前交通动脉瘤2例,所有复发动脉瘤病例均采用支架辅助动脉瘤栓塞治疗,经随访,无再次复发动脉瘤病例。结论血管内介入栓塞治疗颅内动脉瘤具有一定的复发率,本组为4.4%。其复发因素可能与患者年龄、动脉瘤位置及动脉瘤形状相关。采用支架辅助技术可较好处理复发动脉瘤。Objective To investigate the possible causes and countermeasures of recurrence after intracranial aneurysm embolization.Methods Retrospectively analyzing the clinical data about 159 cases with intracranial aneurysm and endovascular interventional embolization in of Department of Neurosurgery Huizhou Central People＇s Hospital from 2007 January to 2012 July,descripting the distribution of intracranial aneurysm recurrence cases,and summarizing the corresponding treatment strategies. Results In 159 selected patients,the patients with recurrence after intracranial aneurysm embolization were 7 cases（ 7 /159,4. 4%）. In the patients with recurrence,age were less than 60 years old,aneurysms were located in the anterior circulation system,and a stent assisted aneurysm embolization was used in 1 case. Conclusion Endovascular embolization treatment of intracranial aneurysms had some recurrence rate,this group was 4. 4%. The recurrence factors appear to be related to age of patients,location of aneurysm and embolization strategy. Using appropriate embolization strategy to effectively change the intracranial aneurysm hemodynamics and to implement ＂ bypass ＂,which is beneficial to reduce the recurrence rate.

关 键 词：颅内动脉瘤 血管内介入栓塞 复发 危险因素 防范对策 

分 类 号：R739.41[医药卫生—肿瘤]