双夹技术治疗颅内微小动脉瘤的疗效分析  

Clinical analysis of treatment for patients with tiny intracranial aneurysms utilizing double-clip technique

作　　者：宗钢 沈杰[1] 汪宇阳 马春春[1] 赵兵[1] ZONG Gang;SHEN Jie;WANG Yu-yang(Department of Neurosurgery,The Second Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院神经外科,合肥230601

出　　处：《临床神经外科杂志》2021年第4期395-398,403,共5页Journal of Clinical Neurosurgery

基　　金：安徽省自然科学基金项目(1608085MH225)。

摘　　要：目的探讨应用双夹技术对颅内微小动脉瘤(TIA)进行夹闭治疗的安全性及有效性。方法回顾性分析使用双夹技术治疗的24例微小动脉瘤患者(27个动脉瘤)的临床资料及随访资料。结果本组患者的平均年龄(55.8±12.9)岁,动脉瘤最大直径为(2.49±0.49)mm,技术成功率为100%。所有患者术后1周CTA检查均未见瘤颈残留,无1例患者术后发生再出血,均临床治愈出院。术后随访6~24个月,DSA复查显示所有动脉瘤均完全闭塞,无复发。术后6个月改良Rankin量表(mRS)评分均<2分(预后良好)。结论双夹技术治疗微小动脉瘤的效果满意,具有较高的围手术期安全性,以及较高的短期治愈率和临床预后良好率。Objective To assess the security and effectiveness of the double-clip technique for tiny intracranial aneurysms.Methods The clinical and follow-up data of 24 patients with 27 tiny intracranial aneurysms who were treated by the double-clip technique were analyzed retrospectively.Results The mean age was(55.8±12.9)years.The mean aneurysms size was(2.49±0.49)mm.The success rate of the technique was 100%.No residual neck tumor was found in all patients one week after operation,and no postoperative rebleeding occurred.All patients were clinically cured,all patients were followed up for 6-24 months with angiography test.DSA review showed that all patients had a favorable neurological outcome(mRS score<2).Conclusions The results of follow-up are satisfactory.The double-clip technique is safe and effective,with high rates of complete occlusion of aneurysm and favorable neurological outcomes at follow up.

关 键 词：颅内微小动脉瘤 双夹技术 夹闭 

分 类 号：R651[医药卫生—外科学]