介入治疗鞍内动脉瘤并蛛网膜下腔出血1例临床分析  

Interventional Therapy for Intrasellar Aneurysm after Subarachnoid Hemorrhage:a case report

作　　者：刘殿玮[1] 马玲[2] 高军[1] 赵瑞[3] 

机构地区：[1]山东大学附属济南市中心医院神经外科,山东济南250013 [2]山东大学第二医院检验科,山东济南250033 [3]上海长海医院神经外科,上海200433

出　　处：《医学与哲学（B）》2016年第4期61-62,共2页Medicine & Philosophy(B)

摘　　要：探讨鞍内动脉瘤出血的临床表现、诊断与治疗策略。分析1例鞍内动脉瘤出血患者临床资料并复习文献。头颅CT检查确定为蛛网膜下腔出血,急诊行脑血管造影确诊为动脉瘤,成功介入手术治疗。破裂的鞍内动脉瘤诊断较为容易,未破裂动脉瘤尤其是巨大鞍内动脉瘤诊断困难,易与鞍内肿瘤混淆,对可疑者应及时行多层螺旋CT血管成像(CTA)、磁共振血管造影(MRA),确诊依靠数字减影血管造影(DSA)检查,确诊后选择恰当治疗方案。To explore the clinical manifestation, the diagnosis and treatment of intrasellar aneurysrn after subarachnoid hemorrhage. The clinical data was analyzed in 1 cases of intrasellar aneurysm after subarachnoid hemorrhage and the literature was reviewed. Subarachnoid hemorrhage was diagnosed accurately by examining the brain CT. The aneurysrn was confirmed by digital subtraction angiography and was treated by interventional surgery. Broken in the intraseltar aneurysm diagnosis is relatively easy. Unruptured aneurysms especially huge intrasellar aneurysms easily confused with intrasellar tumors, so it was difficult to conform. The patients should receive CTA,MRA or DSA inspection, and receivean appropriate treatment.

关 键 词：鞍内动脉瘤 蛛网膜下腔出血.介入治疗 

分 类 号：R743.35[医药卫生—神经病学与精神病学]