血管内介入治疗合并单侧烟雾病的前交通动脉瘤  

Endovascular interventional treatment of anterior communicating aneurysm with unilateral moyamoya disease

作　　者：徐建军 王宏磊[1] 乔萌 冯颖利 徐宁[1] Xu Jianjun;Wang Honglei;Qiao Meng;Feng Yingli;Xu Ning(Department of Vascular Neurosurgery,First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院神经血管病外科,长春130021

出　　处：《中华神经创伤外科电子杂志》2022年第1期39-43,共5页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：目的探讨血管内介入治疗合并单侧烟雾病(MMD)的前交通动脉瘤临床效果。方法回顾性分析吉林大学第一医院神经血管病外科自2017年1月至2019年12月行血管内介入治疗的8例合并单侧MMD的前交通动脉瘤患者的临床资料,观察其栓塞方法、术后效果及随访结果。结果7例患者成功实施动脉瘤栓塞术,均顺利出院;1例动脉瘤术中破裂,术后死亡。临床及影像学随访6~10个月,平均(7.9±1.4)个月,7例患者均恢复良好,动脉瘤均未复发。结论血管内介入治疗合并单侧MMD的前交通动脉临床效果良好,是一种相对安全、有效的方法,其临床效果仍需长期随访及更多病例进一步证实。Objective To investigate the clinical effect of intravascular interventional treatment of anterior communicating aneurysm with unilateral moyamoya disease(MMD).Methods The clinical data of 8 cases of anterior communicating artery aneurysm with unilateral MMD who underwent intravascular interventional therapy in Vascular Neurosurgery Department of First Hospital of Jilin University were analyzed retrospectively from January 2017 to December 2019.The embolization method,postoperative effect and follow-up results were observed.Results Seven patients underwent successful embolization of aneurysm and were discharged after the operation;one aneurysm ruptured during the operation and died after the operation.The clinical and imaging follow-up ranged from 6 to 10 months,with an average of(7.9±1.4)months.Seven patients recovered well,none of the aneurysms recurred.Conclusion Endovascular interventional treatment of anterior communicating artery with unilateral MMD has a good clinical effect.It is a relatively safe and effective method.Its clinical effect still needs to be further confirmed by long-term follow-up and more cases.

关 键 词：单侧烟雾病 前交通动脉瘤 血管内介入治疗 

分 类 号：R651.12[医药卫生—外科学]