血管内介入栓塞合并有颅内肿瘤的动脉瘤的疗效分析  

Clinical analysis on endovascular embolization of intracranial aneurysms accompany with brain tumors

作　　者：焦建同[1] 孙骏[1] 程超[1] 黄进[1] 黄维一 冯素银 赵一清 王龙[4] 邵君飞[1] JIAO Jian-tong;SUN Jun;CHENG Chao(Department of Neurosurgery,Wuxi People's Hospital,Wuxi 214023,China)

机构地区：[1]无锡市人民医院神经外科,无锡214023 [2]无锡市第四人民医院神经外科 [3]华中科技大学附属同济医院神经外科 [4]长治医学院附属和平医院神经外科

出　　处：《临床神经外科杂志》2019年第5期386-389,共4页Journal of Clinical Neurosurgery

基　　金：江苏省自然科学基金面上项目(SK20161140);江苏省自然科学基金青年项目(BK20180169,BK20160197);江苏省和无锡市科教强卫青年医学人才项目(QNRC2016190,SYXQNRC-HWY)

摘　　要：目的探讨介入治疗合并有颅内肿瘤的动脉瘤的安全性和有效性。方法回顾性分析18例合并有颅内肿瘤的动脉瘤患者的临床资料。15例患者行介入栓塞后再行手术切除肿瘤,其中13例患者行单纯弹簧圈栓塞,2例患者行支架辅助栓塞。结果15例患者介入栓塞手术顺利,未见明显介入相关并发症;患者介入栓塞后,肿瘤切除顺利;3例患者出现开颅手术相关并发症,但与介入手术无关。对13例患者进行术后随访,结果显示动脉瘤栓塞完全,未出现介入和开颅手术相关并发症。结论 对于合并有颅内肿瘤的动脉瘤行介入栓塞是安全有效的治疗策略。Objective To explore the safety and efficacy of interventional therapy for intracranial aneurysms with brain tumors. Methods The clinical data of 18 patients of intracranial aneurysms with brain tumors were retrospectively analyzed. 15 patients underwent surgical resection after interventional embolization. Among them, 13 underwent coil embolization alone and 2 underwent stent-assisted embolization. Results 15 patients had successful interventional embolization, without obvious complications related to interventional embolization. Tumor resections were successfully carried out after interventional embolization, and 3 patients had craniotomy-related complications, but not related to interventional surgery. The follow-up of 13 patients after operation showed that the embolization of aneurysms was complete without complications related to interventional therapy and craniotomy. Conclusion Interventional embolization is safe and effective for intracranial aneurysms with brain tumors.

关 键 词：动脉瘤 颅内肿瘤 介入栓塞 开颅手术 

分 类 号：R732.21[医药卫生—肿瘤]