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儿童颅内动脉瘤介入治疗

Interventional treatment of intracranial aneurysm in children
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摘要 目的:评价电解可脱性微弹簧圈(GDC)栓塞治疗儿童颅内动脉瘤的疗效和安全性。方法:分析3例儿童颅内动脉瘤病例的临床症状和体征,男1例,女2例,经数字减影脑血管造影明确诊断,2例为后交通动脉瘤,1例为前交通动脉瘤;Hunt和Hess分类:2例为I级,l例为II级。在DSA下行GDC治疗。结果:经DSA行电解可脱性微弹簧栓塞术治疗,3例均成功,无并发症。结论:儿童颅内动脉瘤虽属罕见,但GDC治疗儿童颅内动脉瘤安全而有效,长期预后则有待于随访观察。 Objective:To evaluate the effect of embolization therapy with Guglielmi detachable coils(GDC)in intracranial aneurysm in pediatric patients.Methods:Three patients with intracranial aneurysm were reported,there were one male and two female cases.All of them were complicated with acute subarachnoid hemorrhage (SAH).The symptoms and signs were nonspecific and the diagnosis were made by digital subtracted angiography (DSA).According to Hunt and Hess'grading:two patient s were grade I,and one was grade II.All of them were treated by embolization therapy with GDC.Result:All of the cases were treated by GDC,neither death nor complication occurred.Conclusion:Though intracranial aneurysm was rare in childhood,endovascular treatment of intracranial aneurysms with GDC is also effective and safe in dealing with pediatric pa-tients,but the long-term effect has to be confirmed by follow-up study in the future.
出处 《中国临床医学影像杂志》 CAS 2002年第3期161-163,共3页 Journal of China Clinic Medical Imaging
关键词 脑动脉瘤 放射学 介入性 cerebral aneurysm radiology,interventional
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参考文献3

  • 1凌锋.介入神经放射学[M].北京:人民卫生出版社,1998.77.
  • 2傅国栋.囊状颅内动脉瘤患儿Endoglin基因的多态性[J].国外医学:遗传学分册,2000,23:54-55.
  • 3吕刚,李德泽.儿童颅内动脉瘤(附16例分析)[J].中华小儿外科杂志,1995,16(3):146-148. 被引量:5

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