摘要
目的探讨电解可脱性弹簧圈血管内栓塞颅内动脉瘤的治疗要点、并发症及疗效。方法对颅内动脉瘤破裂患者33例采用电解可脱性弹簧圈进行颅内动脉瘤囊内栓塞。术后早期处理出血并进行有效地对症治疗。结果 33例动脉瘤患者成功栓塞30例,术中血管痉挛2例,再出血3例,其中死亡1例。术后1月内血管痉挛4例,脑积水2例,脑梗死1例。结论电解可脱性弹簧圈栓塞颅内动脉瘤具有微创、安全、效果可靠的优点。早期栓塞及有效地术后处理可减少并发症的发生,提高治愈率。
Objective To discuss the techniques and complications in endovascular embolization of intracranial artery aneurysm with guglielmi detachable coil （ GDC ） , and to evaluate therapeutic effect of the treatment. Methods Intracranial artery aneurysms of 33 cases were embolized the aneurismal sac via femoral artery approach. The hemorrhage was early removed from subarachnoid cavity after operation. Results The aneurysms were successfully embolized with GDC in 30 patients. Arterial spasm occurred in 2 cases during the operation, re - bleeding in 3 cases, and 1 patient died. In a postoperative follow - up of 1 month, there were arterial spasm in 4 cases, hydrocephalus in 2 cases, and cerebral infarction in 1 patient. Conclusion Endovascular embolization with GDC for the treatment of intracranial aneurysm is micro- traumatic, safe, effective and reliable. Early embolization together with proper post operative treatment will decrease the complications and improve the future outcomes.
出处
《河北医科大学学报》
CAS
2010年第10期1163-1166,共4页
Journal of Hebei Medical University
基金
河北省沧州市科技局指导性课题(07ZD237)
关键词
颅内动脉瘤
栓塞
观察
interacanial aneurysm
embolism
observation
