引用本文:白永连,吕传江,王吉锋,刘永晟,王 峰.弹簧圈栓塞脑动脉瘤的临床分析[J].大连医科大学学报,2010,32(2):204-205+208.
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弹簧圈栓塞脑动脉瘤的临床分析
白永连1, 吕传江1, 王吉锋1, 刘永晟2, 王 峰2
1.庄河市中心医院 神经外科,辽宁 大连 116400;2.大连医科大学附属第一医院 介入科,辽宁 大连 116011
摘要:
[目的]探讨颅内动脉瘤的弹簧钢圈栓塞治疗的临床价值。[方法]45例颅内动脉瘤的患者,36例为并发蛛网膜下腔出血,9例为未破裂动脉瘤;所有患者均在全麻下行弹簧钢圈栓塞术,术后依动脉造影评价栓塞效果。[结果]45例动脉瘤均成功栓塞,其中100%栓塞35个,95%栓塞6个,4个90%栓塞。1例术中动脉瘤破裂,1例术后1周再次破裂出血,无死亡病例。[结论]血管内弹簧钢圈栓塞是治疗脑动脉瘤较理想的方法,具有微创、安全可靠、效果确切的特点。
关键词:  颅内动脉瘤  弹簧钢圈  栓塞
DOI:10.11724/jdmu.2010.02.23
分类号:R743.9
基金项目:
Clinical outcomes of Intracranial aneurysm detachable coils packing
BAI Yong-lian1, Lü Chuan-jiang1, WANG Ji-feng1, LIU Yong-sheng2, WANG Feng2
1.Department of Neuro Surgery,Central Hospital of Zhuanghe,Dalian 116400,China;2.Department of Interventional Therapy,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China
Abstract:
[Objective]To evaluate the clinical outcomes of detachable coils packing therapy of intracranial aneurysm.[Methods]Forty-five patients of intracranial aneurysm were treated with detachable coils packing under general anesthesia.Thirty-six cases were ruptured aneurysms with SAH,and 9 cases were un-ruptured aneurysms.All of them were undergone cerebral arterial angiography for post-embolization evaluation.[Results]Forty-five cases of intracranial aneurysm were treated with coils packing successfully,35 of them were 100%,6 of them were 95% and 4 of them were 90% packings.Hemorrhage during the procedure occurred and re-hemorrhage post-embloizaiton occurred in one case respectively.No death was recorded.[Conclusion]Endovascular coils packing is a safe and effective solution for intracranial aneurysm therapy.
Key words:  intracranial aneurysm  detachable coils  emblozation