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颅内动脉瘤囊内栓塞结果影像学判断标准的探讨
引用本文:Wang D,Ling F,Li M,Zhang H,Miu Z,Zhang P,Song Q,Hao M,Zhang Y. 颅内动脉瘤囊内栓塞结果影像学判断标准的探讨[J]. 中华外科杂志, 2000, 38(11): 844-846,I047
作者姓名:Wang D  Ling F  Li M  Zhang H  Miu Z  Zhang P  Song Q  Hao M  Zhang Y
作者单位:北京医院神经外科
基金项目:国家自然科学基金!资助项目 (39870 2 2 8)
摘    要:目的 探讨颅内动脉瘤囊内栓塞结果的影像学判断标准。方法 6名专科医师根据动脉瘤栓塞后血管造影不显影为100%、瘤颈少许残留为95%、瘤颈残留为90%、瘤颈残留并有少许瘤体残留为80%和少部分瘤体残留为〈80%的栓塞判断标准,对1995年3月至1999年7月用机械可脱式弹簧圈和(或)电解可脱式弹簧圈囊内栓塞的120例(121个)动脉瘤的血管造影片进行评价,并分析该标准的合理性、可行性和局限性。结果

关 键 词:颅内动脉瘤 影像学诊断 囊内栓塞治疗

An occlusive evaluation proposal to intra-saccular embolization of intracranial aneurysm
Wang D,Ling F,Li M,Zhang H,Miu Z,Zhang P,Song Q,Hao M,Zhang Y. An occlusive evaluation proposal to intra-saccular embolization of intracranial aneurysm[J]. Chinese Journal of Surgery, 2000, 38(11): 844-846,I047
Authors:Wang D  Ling F  Li M  Zhang H  Miu Z  Zhang P  Song Q  Hao M  Zhang Y
Affiliation:Department of Neurosurgery, Beijing Hospital, Beijing 100730, China.
Abstract:OBJECTIVE: To explore the imaging criteria for evaluating intracranial aneurysm embolization. METHODS: Angiographic occlusive criteria for intracranial aneurysm embolization (aneurysm not opcified angiographically after embolization, 100% occlusion; a little part of aneurysm neck residual, 95%; neck residual, 90%; neck and a little part of aneurysm cavity residual, 80%; some cavity residual, < 80%) were used by 6 specialists to evaluate 121 aneurysms embolized with MDS (mechanical detachable spiral) and/or GDC (guglielmi detachable coil) from March 1995 to July 1999. The rationality, feasibility and limitation of the criteria were discussed. RESULTS: Among the 121 aneurysms, 100% occlusion was reached in 53 aneurysms (43.8%), 95% in 27 (22.3%), 90% in 16 (13.2%), 80% in 15 (12.4%), and less than 80% in 10 (8.3%) respectively. Good accordance was obtained among different doctors in the occlusive evaluation of aneurysm embolization. CONCLUSIONS: The suggesting criteria are simple and feasible in clinical practice, although the effect of imaging follow-up of embolized aneurysm is unknown and the numerical value of occlusive percentage is arbitrary.
Keywords:Cerebral aneurysm  Embolization   therapeutic  Radiography
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