颅内巨大动脉瘤诊断及治疗

目的颅内巨大动脉瘤占颅内动脉瘤的５％－７％，有人报告可达到２０％以上。由于部位深，周围结构复杂，以及瘤颈难以处理等因素。治疗较因素。本报告巨大动脉瘤３６例，占我院同期收治的动脉瘤６．６％（３６／５４７）。方法血管内栓塞２１例，手术夹闭或切除７例，载瘤动脉栓塞３例，保守治疗５例。结果血管内栓塞２１例，其中完全栓塞３例，栓塞８０％以上（含完全栓塞）１５例，余６例不足８０％，死亡２例。手术夹闭或切除

The diagnosis and treatment of giant intracranial aneurysm

Objective There are 36 cases of giant aneurysms in this report, that is 6.6%(36/547) in the all aneurysms treated duringthe same period in our hospital. There are 5%-7% intraeranial aneurysm are giant, and it was reported that the percentage is 20%by someone.Because its location is deep,surrounding structure is complicated, and it is difficult to deal with the neck, we have someproblem to treat it. Method 21 cases were treated hy endovascular embolization, 7 cases were cliped or removed by operation, 3cases were occluded in the parent artery, 5 cases were treated by conservative method. Result In 21 cases endovascular embolization,there were 3 cases embolized completely, 15 cases embolized more than 80%, 6 cases less than 80%, and 2 dead. 7 eases wereelipped or removed by operation, 1 case died and 1 case was morhid seriously,and 1 case died because aneurysm ruptured duringconventional treatment. Conclusion In this group of 21 cases endovascular treatments, although most of them (71.4%) were embolizedonly 80%, the short time effect is quite good. Endovascular treatment could he selected for the patients who have a deep-locationedor giant aneurysm. Considering the short history of endovascular treatment, and its risk and effect have not been proved perfectly,Its evaluation needs a long-period follow up.