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眼动脉瘤的血管内治疗
引用本文:郭晓明,张志文,李安民,傅相平,赵明,查韦光,闫润民,刘爱军,杜程钢,易林华,梁树立.眼动脉瘤的血管内治疗[J].中国微侵袭神经外科杂志,2005,10(7):298-299.
作者姓名:郭晓明  张志文  李安民  傅相平  赵明  查韦光  闫润民  刘爱军  杜程钢  易林华  梁树立
作者单位:中国人民解放军总医院304临床部神经外科,北京,100037
摘    要:目的探讨眼动脉瘤血管内治疗的方法和疗效。方法采用电解可脱铂金弹簧圈(GDC)栓塞治疗眼动脉瘤9例,其中采用三维GDC(3D-GDC)加普通GDC栓塞5例,血管内支架联合GDC栓塞3例,球囊辅助瘤颈重塑GDC栓塞1例。结果完全致密填塞4例,填塞95%以上3例,大部分填塞2例.近期Glasgow预后评分(GOS)均为良好。结论血管内治疗眼动脉瘤具有独特优势,采用正确的操作策略是提高治疗质量的关键。

关 键 词:颅内动脉瘤  栓塞,治疗性  支架
文章编号:1009-122X(2005)07-0298-02
修稿时间:2005年3月9日

Endovascular treatment of ophthalmic aneurysms
GUO Xiaoming,ZHANG Zhiwen,LI Anmin,et al.Endovascular treatment of ophthalmic aneurysms[J].Chinese Journal of Minimally Invasive Neurosurgery,2005,10(7):298-299.
Authors:GUO Xiaoming  ZHANG Zhiwen  LI Anmin  
Institution:GUO Xiaoming,ZHANG Zhiwen,LI Anmin,et alDepartment of Neurosurgery,the 304th Clinical Department of General Hospital of PLA,Beijing 100037
Abstract:Objective To study the outcome of endovascular treatment for ophthalmic aneurysm. Methods Nine patients with ophthalmic aneurysm were treated with Guglielmi detachable coil (GDC) embolization. Among them, 5 were treated by 3D-GDC and GDC embolization, 3 by endovascular stent placement and GDC embolization, and 1 was treated by remodeling techniques using balloon and GDC embolization. Results The aneurysms were completely embolized in 4 cases, incompletely embolized in 3 and partially embolized in 2. Postoperative short-term Glasgow Outcome Scale (GOS) showed good therapeutic effects in all the patients. Conclusion As one of the main treatment modalities for ophthalmic aneurysm, endovascular treatment has its own advantages. Proper therapeutic strategy is significant for the outcome.
Keywords:intracranial aneurysm  embolization  therapeutic  stents  
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