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颅内动脉瘤破裂后的早期栓塞治疗
引用本文:马骏,常义,刘宏毅,胡波,黄庆玖,陈永严,赵鹏来,何升学. 颅内动脉瘤破裂后的早期栓塞治疗[J]. 临床神经外科杂志, 2005, 2(3): 101-103
作者姓名:马骏  常义  刘宏毅  胡波  黄庆玖  陈永严  赵鹏来  何升学
作者单位:南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029;南京医科大学附属脑科医院神经外科,210029
基金项目:国家“十五”科技攻关课题资助项目(2001BA703818)南京市医学重点科技发展项目(ZKX0305)
摘    要:目的 研究颅内动脉瘤破裂后早期栓塞治疗的意义、可行性及相关事宜。方法 对32例破裂的颅内动脉瘤在3d内施行栓塞治疗,微导管选用Tracker、Excel、Prowler、Rebar或Echelon系列,栓塞材料选用GDC、EDC或Orbit。结果 动脉瘤90%栓塞20例、95%栓塞8例、完全栓塞4例,死亡4例。结论 动脉瘤破裂后的早期栓塞可减少再出血的风险,操作受血管痉挛的影响较小,对血管痉挛有治疗作用,术后需辅以“3H”治疗。

关 键 词:颅内动脉瘤破裂  早期栓塞
文章编号:1672-7770(2005)03-0101-03
收稿时间:2005-04-12
修稿时间:2005-05-18

Early embolization of ruptured intracranial aneurysms
MA Jun, CHANG Yi , LIU Hong-yi,et al.. Early embolization of ruptured intracranial aneurysms[J]. Journal of Clinical Neurosurgery, 2005, 2(3): 101-103
Authors:MA Jun   CHANG Yi    LIU Hong-yi  et al.
Affiliation:MA Jun, CHANG Yi , LIU Hong-yi, et al.
Abstract:Objective To explore the possibility and application of early embolization of ruptured intracranial aneurysms. Methods 32 patients with the ruptured intracranial aneurysms were treated by embolization within 3 days. The microcatheter is Tracker, Excel, Prowler, Rebar or Echelon, and the coil is GDC, EDC or Orbit. Rusults 90% occlusion were achieved in 20 cases, 95% in 8 cases, 100% in 4 cases. 4 cases died. Conclusions It can prevent rebleeding and may be helpful in treating cerebral vasospasm that the ruptured intracranial aneurysms were treated by early embolization. There's no significant affection of cerebral vasospasm on the embolizing. The methods of "3H" should be used after embolization.
Keywords:ruptured intracranial aneurysms   early embolization
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