颅内宽颈动脉瘤的血管内介入治疗

目的：探讨血管内支架结合电解可脱卸弹簧圈（GDC）治疗颅内宽颈动脉瘤的疗效、治疗护理要点、安全性及并发症的防治。方法：对明确诊断为颅内宽颈动脉瘤的20例患者行血管内支架结合电解可脱卸弹簧圈介入治疗。动脉瘤位置：前交通动脉瘤8例。后交通动脉瘤4例，颈内动脉海绵窦段动脉瘤3例．大脑中动脉瘤2例．基底动脉瘤2例．颈内动脉海绵窦段合并前交通动脉瘤1例。结果：20例患者均成功释放支架，患者全部治愈出院。其中17例致密栓塞。3例大部填塞。血管造影检查：动脉瘤不显影，载瘤动脉及邻近主要血管分支通畅．均无再出血或血栓栓塞等相关并发症。结论：血管内支架结合弹簧圈是治疗颅内宽颈动脉瘤安全、有效的方法．短期治疗效果肯定，正确的围手术期处理，可以提高手术的成功率，减少并发症。

The endovascular interventional treatment of wide-neck intracranial aneurysms

Objective:To explore experience of endovascular stenting combined with coiling for intracranial wide-neck aneurysms and to investigate its safety and efficacy,essential points for treatment and nursing,prevent and treatment of complications.Methods:20 patients with wide-neck intracranial aneurysms undergone endovascular procedures were reviewed,including 3 intracavernous sinus part of carotid artery aneurysms,2 middle cerebral artery aneurysms,2 basilar artery aneurysms,1 intracavernous sinus carotid artery...