摘要
目的:探讨电解可脱卸弹簧圈(GDC)治疗颅内动脉瘤的临床效果。方法:应用GDC栓塞治疗14例16个颅内动脉瘤,并复习其临床特点及影像。Hunt Hess分级:Ⅰ级4例、Ⅱ级7例、Ⅲ级2例、Ⅳ级1例。14例均在栓塞术后行腰椎穿刺脑脊液置换,7例术后6个月内造影复查。结果:14例16个动脉瘤中,位于后交通动脉5例,前交通动脉3例,基底动脉3例,椎动脉3例。16个动脉瘤完全闭塞15个,部分闭塞(>于95 % ) 1个。3例神经系统症状彻底恢复,4例睑下垂改善明显,7例眼外肌麻痹恢复较慢。无1例术中动脉瘤破裂出血。结论:短期的随访结果表明,对引起蛛网膜下腔出血的颅内动脉瘤,GDC栓塞术是一种安全、有效、创伤小值得信赖的治疗方法。尽管此报告的病例数目较少,脑血管造影证实其良好效果与相关报道相似。
Objective:To investigate the efficiency of Gugliemi detachable coil(GDC) in the treatment of intracranial aneurysms with subarachnoid hemorrhage.Methods:Between July 2000 and October 2003, 14 patients with 16 intracranial aneurysms were embolized using Gugliemi detachable coils (GDC).The clinical notes and imaging were reviewed retrospectively.Hunt-Hess grade, Ⅰ 4cases, Ⅱ 7cases, Ⅲ 2cases, Ⅳ 1cases.Lumbar subarachnoid drainage was instituted postoperatively. Final angiographic follow-up time ranged in 6 months in 7 cases.Results:Aneurysms were located in the internal carotid-posterior communicating artery (n=5), anterior communicating artery (n=3),the basilar bifurcation (n=3) and the cavernous vertebral artery (n=3).Among 16 aneurysms,total occlusion in 15 cases, subtotal occlusion in 1 case.Overall,improvement or resolution of CN symptoms after treatment was noted in 3 patients.Ptosis was the initial symptom to show improvement in 4 cases, while EOM dysfunction responded least favourably in 7 cases. No aneurysmal rupture was observed during treatment.Conclusion:The results of short-term follow-up suggested that embolization of intracranial aneurysms with GDCs be microtraumatic, safe,effective,and reliable.Although the number of patients in this study is small, there is evidence that the angiographic outcome is better for intracranial aneurysms.Our results are comparable to other published series.
出处
《医学影像学杂志》
2005年第6期452-455,共4页
Journal of Medical Imaging
关键词
颅内动脉瘤
电解可脱卸弹簧圈
介入
栓塞
治疗
Intracranial aneurysms
Gugliemi detachable coil (GDC)
Interventional,embolization,treatment
