血管内栓塞治疗颅内动脉瘤的效果评价(附88例报告)

目的评价多种血管内栓塞方法对颅内动脉瘤的治疗效果。方法88例颅内动脉瘤中,56例给予电解可脱式微弹簧圈(GDC)栓塞治疗,12例行微弹簧圈栓塞治疗,7例行可脱性球囊栓塞治疗,6例行动脉支架结合GDC栓塞治疗,4例行机械可脱式微弹簧圈(MDS)栓塞治疗,3例行球囊辅助结合GDC栓塞治疗。结果88例全部治愈。1例在GDC栓塞术后出现一过性失语及肢体瘫痪,经内科治疗后,24小时恢复正常。1例微弹簧圈栓塞术后出现对侧肢体肌力1-2级,经治疗后,3个月恢复正常,随访2年无复发。结论GDC是目前血管内栓塞动脉瘤的首选方法;对宽颈口或梭形动脉瘤,可应用球囊结合GDC或动脉支架结合GDC栓塞治疗。

Endovascular embolization on intracranial aneurysms(88 cases report)

Objective To study and compare the effectiveness of various mothods in endovascular embolization of intracranical aneurysms. Methods In 88 cases with intracranical aneurysms, 56 cases were embolized by guglielmi-detachable coils (GDC), 12 cases by microcoil, 7 cases by detachable balloon, 6 cases combined use of stent and GDC,4 cases by mechanically detachable coilsl (MDS) and 3 cases by balloon and GDC. Results AH cases were cured successfully. One case suffered transient aphasia and hemiparesis after GDC embolization,recovered 24 hours after medical treatment. One case with microcoil embolization occurred grade I to I dynamic of contralateral limb,recovered 3 months after medical treatment and followed-up for 2 years which not recurred. Conclusions Endovascular embolization of intracranical aneurysms with GDC is a better alternative. Using balloon combined with GDC or stent combined with GDC to treat wide-neck and fusiform intracranical aneurysms can improve the outcome.