摘要
目的探讨脑血管造影对老年人脑膜瘤的价值及术前栓塞的临床效果。方法选择60岁以上的脑膜瘤17例行全脑血管造影，对单纯颈外动脉供血和颈外动脉为主要参与供血者进行血管内栓塞。结果17例60岁以上的脑膜瘤患者，经血管造影显示肿瘤以颈内动脉供血为主和单纯颈内动脉供血者5例；单纯颈外动脉和以颈外动脉供血为主者12例。后者经颈外动脉分支用250—350μm明胶海绵颗粒栓塞剂实施栓塞，肿瘤染色完全消失7例，大部消失5例。无栓塞相关并发症。栓塞后2～7d手术，肿瘤全切10例，次全切除2例，栓塞后肿瘤出血明显减少，平均输血量400ml。结论脑血管造影及术前栓塞对老年脑膜瘤患者是一种安全、有效的检查和辅助治疗措施，可明显减少手术中出血量、缩短手术时间和减少并发症。
Objective To investigate the diagnostic value of digital subtraction angiography （DSA） and the clinical efficacy of preoperative embolization for the senile patients with meningiomas. Methods 17 patients of over 60 years old with meningiomas were examined by DSA, and the preoperative embolization was performed in these patients with meningiomas fully or mainly fed by the external carotid artery （ ECA ）. Results In those patients revealed by DSA , 5 fully or mainly fed by the internal carotid artery （ICA） and 12 fed by the ECA. The latter were embolized with glutin sponge particulate of 250 - 350 μm by the way of trans- ECA , The blood supplies of the tumor in 7 cases were completely eliminated, and partial occlusion in 5. No related complications occurred. 10 patients were total removal of meningiomas and the others were mainly removal 2 - 7 d following the embolization. Bleeding was reduced apparently during operations, and averagely 400 ml blood were transfused. Conclusions DSA and preoperative embolizations are safe and effetive method on senile patients with meningiomas, which can significantly reduce bleeding, shorten operative time and avoid the complications after surgery.
出处
《临床神经外科杂志》
CAS
2007年第1期7-9,共3页
Journal of Clinical Neurosurgery
