摘要
目的探讨血管内介入栓塞治疗颅内动脉瘤的应用价值。方法选择颅内动脉瘤患者212例,所有患者均接受血管内介入栓塞术治疗。观察患者治疗效果,比较不同Hunt-Hess分级、性别、年龄患者术后并发症及预后情况。结果共有195例患者栓塞成功,成功率为92.0%。完全闭塞171例(87.7%),闭塞程度达95%以上者15例(7.7%),闭塞90%～95%者9例(4.6%)。Hunt-Hess分级Ⅲ～Ⅳ级患者术后并发症发生率为43.2%,显著高于0～Ⅱ级患者的13.0%(P<0.05)。年龄≥60岁患者术后并发症为39.3%,显著高于年龄<60岁患者的17.9%(P<0.05)。Hunt-Hess分级Ⅲ～Ⅳ级患者预后差的比例为16.2%,显著高于0～Ⅱ级患者的4.3%(P<0.05)。结论血管内介入栓塞术治疗颅内动脉瘤具有良好的效果,高龄患者及危重患者术后并发症发生率高,预后不佳。
Objective To explore the value of the embolization of intracranial aneurysms, endovascular intervention. Methods 212 patients with intracranial aneurysms were chosen, all patients were treated with intravascular embolization therapy. Observations of patients outcomes were compared through different Hunt-Hess grade,gender,age of patients with postoperative complications and prognosis. Results A total of 195 patients were successfully embolized, the success rate was 92.0 %. Complete occlusion in 171 cases, the ratio was 87.7 %, the degree of occlusion of more than 95% in 15 cases, accounting for 7.7%, occlusion of 90% -- 95 % in 9 cases, accounting for 4.6%. Hunt-Hess grading Ⅲ-Ⅳ patients with grade postoperative complications was 43.2%, significantly higher than the 0-- Ⅱ level in patients with 13.0% （ P 〈0.05）. In patients ≥ 60 years of age, the complication rate was 39.3 %, significantly higher than the patients （60 years of age, 17.9 % （ P 〈0.05）. Hunt-Hess grade Ⅲ-Ⅳ level in patients with poor prognosis ratio of 16.2%, significantly higher than the 0-- Ⅱlevel in patients with 4.3% （ P 〈0. 05）. Conclusion Endovascular embolization showed good results in treatment of intracranial aneurysms, but elderly patients and critically ill patients have high incidence of postoperative complications,their prognosis is poor.
出处
《临床荟萃》
CAS
2012年第20期1757-1758,1761,共3页
Clinical Focus
关键词
颅内动脉瘤
栓塞
治疗性
血管造影术
数字减影
intracranial aneurysm
embolization,therapeutic
angiography,digital subtraction
