摘要
[目的]探讨颅内椎动脉瘤的手术治疗和临床效果。[方法]自2003年7月～2007年5月对21例椎动脉瘤患者采用外科治疗,其中15例施行显微外科手术,动脉瘤夹闭13例,切除1例,包裹1例;6例行血管内治疗。[结果]根据格拉斯哥结果计分(GOS)将本组治疗结果分为好(4～5分)、差(2～3分)及死亡(1分)3种。21例中好为17例,差为1例,死亡3例。[结论]根据病人的术前分级,动脉瘤的部位、大小、形态,以及医院的设备条件,选择个体化的治疗方案方能取得较满意效果。
[Objective] To evaluate surgical treatment and clinical outcome of intracranial vertebral aneurysms. [Methods] 21 patients with intracranial vertebral aneurysms were reviewed from 2003.7 to 2007.5. Direct microsurgical repair was performed in 15 patients, in whom 13 eases were clipped, one resected and one wrapped. Aneurysm embolization was carried out in 6 eases. [Results] According to Glasgow outcome scale, good outcomes （COS Scores of 4 or 5） were achieved in 17 cases, poor outcomes （COS Scores of 2 or 3） in 1 case, and death （GOS Scores of 1） in 3 cases. [Conclusion] Individual treatment strategies should be applied to different patients according to the aneurismal location, size, shape, preoperational Hunt ＆ Hess Grade evaluation, and the condition of hospital. By this way, good outcome can be obtained.
出处
《现代预防医学》
CAS
北大核心
2008年第11期2180-2181,共2页
Modern Preventive Medicine
关键词
动脉瘤
椎动脉
带膜支架
血管内治疗
Aneurysms
Vertebral artery
Stent graft
Endovascular treatment
