摘要
目的探讨分叶状颅内破裂动脉瘤血管内治疗的方法、注意事项及临床效果。方法收集自2006年1月至2012年10月解放军第二六四医院神经外科诊治的89例分叶状颅内破裂动脉瘤患者(均行血管内介入治疗),对其相关临床资料行回顾性分析。结果术中1例发生动脉瘤破裂,2例术后发生血栓栓塞症状;栓塞后血管造影,其中完全栓塞76例(85.39%),大部分栓塞13例(14.61%1;术后3个月格拉斯哥预后量表(GOS)评估为恢复良好69例(77.53%),轻度残疾12例(13.48%),重度残疾7例(7.97%),死亡1例(1.12%)。结论对分叶状颅内破裂动脉瘤采取血管内介入治疗,安全性高,临床效果好,复发率低。
Objective To explore the methods, matters needing attention and clinical effects of endovascular treatment on ruptured and lobulated intracranial aneurysms. Methods Eighty-nine patients with lobulated intracranial aneurysms treated with endovascular treatment in our hospital from January 2006 to October 2012 were chosen in our study; their clinical data were retrospectively analyzed. Results Intraoperative aneurysm rupture occurred in 1 patient and 2 had postoperative thrombosis symptoms. Immediate angiography showed that 76 patients (85.39%) enjoyed complete embolization, 13 (14.61%) had arterial embolization. After 3 months, the clinical effects were studied on the basis of Glasgow Outcome Scale (GOS) scores; good recovery was noted in 69 patients (77.53%), mild disability in 12 (13.48%), severe disability in 7 (7.97%) and death in 1 (1.12%). Conclusion Endovascular treatment for ruptured and lobulated intracranial aneurysms is a high safety method, with good clinical effect and low recurrence rate.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2013年第11期1168-1170,共3页
Chinese Journal of Neuromedicine
关键词
颅内动脉瘤
分叶状动脉瘤
栓塞
弹簧圈
Intracranial aneurysm
Lobulated intracranial aneurysm
Embolization
Coil