摘要
目的报告自制带生物膜跨血管包裹性动脉瘤夹（带膜包裹夹）治疗6例难治性动脉瘤，探讨其发展、应用范围及临床疗效。方法从2004—2005年，我科应用带膜包裹夹治疗前循环动脉瘤3例，后循环动脉瘤3例；其中梭形动脉瘤2例，夹层动脉瘤1例，宽颈动脉瘤3例；6例均为难治性破裂动脉瘤。结果于术效果优良者5例，轻残1例。结论带膜包裹夹是治疗颅内难治性动脉瘤的有效方法，其在难治性动脉瘤中的治疗作用值得研究和发展。
Objective To evaluate the effectiveness of wrap-clipping with a biological graft in the treatment of various intractable cerebral aneurysms in 6 patients and to discuss its methodology, technical tip, efficacy and application. The evolution of wrapping of cerebral aneurysms was also reviewed. Methods From November 2004 to November 2005, 3 patients of anterior circulation aneurysms and 3 patients of posterior circulation aneurysms were treated by using fenestrated angled clip-biological grafts. The aneurysms were fusiformed in 2 patients, dissecting in 1 patient and wide necked in 3 patients. All the 6 aneurysms were ruptured intractable aneurysms. Results All cases were achieved follow-up study after surgery, the outcome was considered as good in 5 cases, fair in 1 case. Conclusion In the treatment of intractable cerebral aneurysms, wrap-clipping with a biological graft is a safe and effective method, and might be the future direction for the treatment of those intractable aneurysms. The study and research of the importance of its therapeutical effect should be continued.
出处
《中华神经外科杂志》
CSCD
北大核心
2008年第8期579-582,共4页
Chinese Journal of Neurosurgery
关键词
颅内动脉瘤
带生物膜跨血管动脉瘤夹
包裹夹闭
Intracranial aneurysm
Fenestrated angled clip-biological graft
Wrap-clipping with a biological graft
