颅内动脉瘤介入治疗与显微手术治疗对比研究  

Contrast study of endovascular and microsurgical treatment of intracranial aneurysm

作　　者：栾立明[1] 刘建民[2] 曲元明[1] 韩韬[1] 董勇[1] 

机构地区：[1]山东省立医院神经外科,山东济南250021 [2]上海长海医院神经外科,上海200433

出　　处：《医学影像学杂志》2002年第4期245-247,共3页Journal of Medical Imaging

摘　　要：目的 :对比分析颅内动脉瘤介入治疗与显微手术治疗的时机及术中、术后处理及疗效。方法 :回顾性分析颅内动脉瘤介入治疗 36例与应用显微手术治疗 132例的疗效。结果 :介入治疗 36例 4 1枚动脉瘤中 34枚动脉瘤行GDC栓塞、1枚行单纯支架置入、6枚行支架置入 +GDC栓塞 ;术后恢复良好者 2 7例 ,轻残 5例 ,重残 3例 ,死亡 1例。显微手术组132例中 ,术后恢复良好 86例 ,轻残 2 5例 ,重残 14例 ,死亡 7例。结论 :在颅内动脉瘤治疗中 ,介入治疗较显微手术治疗简单易行 ,恢复快。Objective:To contrast and analyse the operation opportunity, management and effective of intra operation and post operation of intracranial aneurysm by endovascular and microsurgical treatment.Methods:132 aneurysms operated under microscope and 36 cases,41 aneurysms by endovascular methods, all the cases were studied retrospectively.Results:In endovascular group, 34 aneurysms embolized by GDC, 1 only by bracket,6 both embolization and bracket. 27 patients came back normal work, 25 light deformity, 3 severe deformity and 1 dead. In operation group, 86 patients came back normal work, 25 light deformity,14 severe deformity and 7 dead.Conclusion:Endovascular treatment is simple and easy about the treatment of aneurysm .The patients recover quick and have favourable prognoie.

关 键 词：颅内动脉瘤 介入治疗 显微手术 对比研究 

分 类 号：R739.41[医药卫生—肿瘤]