摘要
目的在神经外科领域,未破裂颅内动脉瘤(unruptured intracranial aneurysms,UIA)是否行外科处理是最具有争议的问题之一。随着影像学技术和神经介入技术的发展,越来越多的UIA患者接受了微创手术。文中总结分析UIA血管内治疗的安全性及疗效。方法回顾性分析89例患者共计102个动脉瘤血管内治疗的即时情况、随访结果、并发症、复发情况和再治疗的效果。结果除1例患者(1个动脉瘤)因血管扭曲显著,微导管无法超选至动脉瘤腔而未能完成血管内治疗外,其他所有动脉瘤均顺利进行血管内治疗。术中出现血栓性事件2例,动脉瘤出血3例,出现永久性并发症3例。随访期间有5例复发,3例患者接受再次治疗。结论血管内治疗UIA是安全有效的方法。
Objective In the field of neurological surgery,unruptured intracranial aneurysms（UIA） treatment is one of the most controversial topics.With the development of imaging and endovascular treatment technology,more and more patients accept this minimally invasive surgery.This article wants to analyze the safety of unruptured intracranial aneurysms and discuss the therapy strategy of them.MethodsPostoperative study of the immediate and long-term outcomes,complications,recurrences and the need for retreatment results of 89 patients（102 unruptured intracranial aneurysms）.ResultsDue to vascular significantly distortion,1 patients（1 aneurysm） failed to complete endovascular treatment.5 patients appeared perioperative complications（2 patients abnormally embolized,3 aneurysms ruptured）.3 patients have permanent complications.During follow-up,5 aneurysms recurrences occurred and 3 were treated again.ConclusionEndovascular treatment is an effective method for the treatment of unruptured intracranial aneurysms.
出处
《医学研究生学报》
CAS
2011年第3期290-293,共4页
Journal of Medical Postgraduates
关键词
颅内动脉瘤
未破裂
血管内治疗
Intracranial aneurysms
Unruptured
Endovascular treatment
