血管内治疗前交通动脉瘤

目的 总结前交通动脉瘤血管内治疗的经验和体会,探讨血管内治疗前交通动脉瘤的效果和减少并发症发生的方法.方法 共栓塞前交通动脉瘤98例.依据Hunt-Hess分级:I级16例,Ⅱ级52例,Ⅲ级23例,Ⅳ级7例.术后积极行腰大池或腰穿引流血性脑脊液,采用3H疗法防治血管痉挛.结果 98个动脉瘤全部成功栓塞,随访3个月-3年,无再出血发生.结论 血管内治疗前交通动脉瘤是一种有效、确切的治疗方法.术后早期引流血性脑脊液、积极药物治疗是减少并发症的发生、提高治疗效果的重要方法.

Endovascular treatment of anterior communicating artery aneurysm

Objective To summarize the treatment experience and evaluate outcome of endovascular treatment of anterior communicating artery aneurysms.Methods 98 cases of anterior communicating artery aneurysms were treated with endovascular treatment between March 2006 and December 2009.The pretreatment Hunt and Hess score was grade 1 in 16 patients,grade 2 in 52,grade 3 in 23 and grade 4 in 7.The hemorrhage was early removed from subarachnoid cavity after operation.Results 98 aneurysms were cured succesfully.There was no rebleeding during follow-up period (3 to 36 months) .Conclusion Endovascular treatment is an effective technique for treating anterior communicating artery aneurysms.Advances in techniques and correct treatment of complications will decrease the complications and improve the future outcome.