摘要
目的探讨血管内介入栓塞治疗在脑动脉瘤治疗中的应用价值。方法2004年8月～2008年3月,我院对19例经全脑血管造影证实的脑动脉瘤患者行介入栓塞治疗,栓塞材料采用GDC或DCS(铂金弹簧圈),其中4例宽瘤颈动脉瘤采用血管内球囊辅助技术(Remodeling technique)或血管内支架(Neuroform)置入后行介入栓塞治疗,介入手术17例在全麻下进行,2例在局麻下进行。结果19例脑动脉瘤,18例成功栓塞,成功率达94.7%;失败1例,占5.3%;栓塞过程中动脉瘤破裂2例,占15.3%,破裂的脑动脉瘤均继续行栓塞并治疗成功;动脉瘤栓塞术后造成轻偏瘫2例,占10.5%;术中无死亡病例。结论脑动脉瘤介入栓塞治疗成功率高,术后并发症少,是一种安全、有效的治疗方法。
Objective： To explore the value of endovascular interventional therapy in the treatment of intracranial aneurysm. Methods： Between August 2004 and March 2008 in my hospital, 19 cases of aneurysm of brain confirmed by full cerebral angiograph were treated with endovascular interventional therapy and the embolism material were GDC or DCS （the platium spring ring）. In four cases with a wide neck of the aneurysm interventional therapy was done after endovascular Remodeling technique or Neuroform. In these 19 cases, 17 cases received general anesthesia, 2 cases with local anesthesia. Result： In these 19 cases, 18 cases （94.7%） were embolized successfully and 1 case （5.3%） failed. In two cases （15.3%）, the aneurysm breaked in embolizing process and all continued to go to bolt ,cured successfully. After the operation, 2 cases（10.5%） had hemiparesis and no death in operation. Conclusion： The interventional embolism therapy with a high success rate and a low complication postoperation, is a safe and effective therapy in cerebral aneurysm treatment.
出处
《当代医学》
2009年第11期137-138,共2页
Contemporary Medicine
关键词
脑动脉瘤
弹簧圈
介入
栓塞术
aneurysm of brain
spring ring
interventional therapy
embolism
