摘要
目的探讨微小脑动脉瘤介入栓塞治疗的效果、难点及技术关键等。方法回顾性分析38例微小脑动脉瘤患者的介入栓塞治疗资料。结果单纯弹簧圈栓塞动脉瘤26例，双微导管技术栓塞动脉瘤4例，球囊辅助栓塞动脉瘤2例，支架辅助栓塞动脉瘤6例。38例患者均栓塞成功。术后即刻造影确定栓塞程度：0级12例、1级21例、2级5例。出院时改良Rankin评分：0—1分24例，2分10例，3—4分2例，5分2例。随访33例患者6—12个月，无动脉瘤复发、再破裂发生。结论弹簧圈介入栓塞治疗微小脑动脉瘤是一种可行、安全、有效的方法，但技术难度较大，需根据各例微小脑动脉瘤的特征选择适宜的栓塞技术，降低栓塞风险，减少术后并发症，提高成功率。
Objective To investigate the effects,diiticult points and technical key points of the interventional embolization in brain micro-aneurysms. Methods Retrospectively analyzed the material of the interventional embolization in 38 patients with brain micro-aneurysm. Results Twenty-six cases were treated with simple spring coil embolization technology,4 cases were treated with double micro-catheter embolization technic, 2 cases were treated with embolization combining ballon assistive technic and 6 cases were treated with embolization combining stent assistive technic. All the 38 patients successfully embolized, The postoperative immediate cerebral angiogram to determine the degree of embolization： 12 cases were 0 level,21 cases were I level and 5 cases were 2 level. The Rankin grade results showed that 0 - 1 score in24 cases,2 scores in 10 cases,3 - 4 scores in 2 cases and 5 scores in 2 cases. Thirty-three patients were followed up for 6 - 12 months. No aneurysms recurred or re-raptured. Conclusions The spring coil embolization of brain micro-aneurysms is a feasible,safe and effective method,though the technics involved is difficulty. Selecting suitable embolization technics according to the characteristic of each micro-aneurysm can reduce the risk of operation, decrease complications and increase the successful rate.
出处
《中国医师进修杂志》
2014年第20期13-15,共3页
Chinese Journal of Postgraduates of Medicine
关键词
颅内动脉瘤
栓塞
治疗性
弹簧圈
Intracranial aneurysm
Embolization,therapeutic
Spring coil
