摘要
目的:通过直接手术了解某些特殊形态、破裂口变异及血管分支异常的颅内动脉瘤能否栓塞治疗。方法:回顾总结直接开颅夹闭的174例颅内动脉瘤,发现其中15例(8.6%)形态特殊,术中均仔细观察动脉瘤形状,是否分叶,测量破口大小、位置,瘤壁的厚薄,与载瘤动脉及重要分支关系等,并进行局部高倍镜下照相,然后与术前的影像学资料进行对比研究,寻找这些动脉瘤的影像学特征。结果:发现破口较大或"潜在性"破口6例,其中2例先栓塞导致弹簧圈漏出破口,后经过手术取出治愈;呈分叶状6例;载瘤动脉重要分支从动脉瘤壁附近不规则发出的2例;双侧前交通动脉复合体膨大形成动脉瘤1例。结论:某些特殊动脉瘤不适宜介入栓塞治疗,术前造影无法判断。
Objective： To study some intracranial aneurysms with special morphous, variant split and abnormal blood veeset branches whether suitable for andovascular embolizaton.Method： Retrospectively reviewed 174 patants with intracranial aneurysms which were clipped through craniotomy from January 2001 to January 2007. Fifteen cases were found with special morphous. Observation was made about their appearance, size and site of split, thickness of aneurysms wall, and relation with parent artery and significant branches. Under high power microscope, photoes were taken and compared with preoperative imaging data to explore imaging feature of these intracranial aneurysms.Results： Of these 15 cases of intracranial aneurysms, 6 cases were with giant or potantial split （in 2 cases, coils leaked out from split after andovascular embolizaton and were healed by dislodgment through craniotomy ）, 6 cases with lobular shape, 2 cases with significant branches of parent artery nearby aneurysms wall, and 1 case formed by swelling of bilateral anterior communicating- artery oomplex.Conclusion： Some special intracranial aneurysms are not suitable for endovaecular embolizaton, which can not be decided through preoperative angiogrsphy.
出处
《福州总医院学报》
2007年第1期24-25,20,共3页
Journal of Fuzhou General Hospital
关键词
颅内动脉瘤
血管造影
夹闭术
栓塞治疗
Intracranial aneurysms
Angiography
Clipping
Endovascular embolization
