应用双微导管技术治疗颅内宽颈动脉瘤  

Application of double microcatheter technique in the treatment of intracranial wide necked aneurysm

作　　者：张国良[1] 李双萍[1] 李强[1] 张文燕[1] 

机构地区：[1]河北省衡水市第四人民医院神经外科,衡水053000

出　　处：《中华神经创伤外科电子杂志》2015年第3期14-16,共3页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的分析应用双微导管技术治疗颅内宽颈动脉瘤疗效、复发及并发症。方法回顾性分析13例采用双微导管技术栓塞破裂的宽颈动脉瘤患者的临床资料,均随访3年以上。均采用动脉瘤栓塞程度的判断标准及格拉斯哥评分(GCS)进行评估,并总结了长期疗效、复发及并发症情况。结果经长期随访,在急性期应用双微导管技术栓塞破裂动脉瘤,复查全脑血管造影(DSA)示动脉瘤瘤腔闭塞100%者9例(69.2%),闭塞95%以上者2例(15.3%),闭塞90%者1例(7.69%),栓塞小于80%者1例(7.69%)。格拉斯哥预后评分(GOS)5分9例(69.23%),4分3例(23.08),3分1例(7.69%)。结论对于常规方法治疗宽颈动脉困难或者失败的病例,尝试应用双微导管技术栓塞,是一种有效的治疗方法。Objective To analyze the dual micro- catheter treatment of wide- necked intracranial aneurysm, the palindromia and the complication. Methods We use retrospective analysis to study 13 clinical materials of the patients of wide-necked aneurysm, follow up more than 3 years. In the meanwhile,we adopt the criterion of embolization degree and estimate the Glasgow Rating, combined the situation of long- term curative effect, the palindromia and the complication. Result We come to a conclusion about the review of DSA aneurysms lumen occlusion with long-term fl.up, applying of dual the microcatheter ruptured aneurysms embolization technique in the emergency period： 9 cases of 100% （69.2%） of occlusion, 2 cases of over 90% （15.3%） of occlusion, 1 case of 90% of occlusion （7.69%） and 1 case of below 80% of embolism. Finally, there are 9 cases of 5 points （69.23%）, 3 cases of 4 points （23.8%） and a case of 3 points （7.69%）, according to the final grade of Glasgow Rating. Conclusion It’ s an effective method to use the dual microcatheter ruptured aneurysms embolization technique applying to the difficult cases or aborted cases, which are using the traditional cure.

关 键 词：颅内宽颈动脉瘤 双微导管 栓塞治疗 

分 类 号：R739.41[医药卫生—肿瘤]