| 脑动脉瘤栓塞疗法完美实施的基础 |
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| 引用本文： | 黄胜平,冯文峰,张嘉林,漆松涛.脑动脉瘤栓塞疗法完美实施的基础[J].广东医学,2000,21(8):630-631. |
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| 作者姓名： | 黄胜平 冯文峰 张嘉林 漆松涛 |
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| 作者单位： | 第一军医大学南方医院神经外科,510515 |
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| 摘 要： | 目的：探索栓塞疗法治疗脑动脉瘤达到理想结果的条件。方法：１９９６年４月至２０００年４月间栓塞治疗３３例动脉瘤患者。以球囊栓塞４例，以机械解脱式钨丝弹簧圈栓塞２０例，以电解脱式铂金弹簧圈栓塞９例。结果：闭塞载瘤动脉４例，１００％闭塞８例，９５％闭塞１５例，９０％闭塞６例。无手术并发症。随访（门诊或信访）３３例无再出血。造影随访８例，其中术后１个月复查造影的２例均保持术后栓塞程度，术后３个月复查的３例
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| 关 键 词： | 脑动脉瘤 血管内治疗 栓塞疗法 |
| 修稿时间： | 2000-05-28 |
The basis for ideal embolising of cerebral aneurysms |
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| Huang Shengping,Feng Wenfeng,Zhang Jialin,et al..The basis for ideal embolising of cerebral aneurysms[J].Guangdong Medical Journal,2000,21(8):630-631. |
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| Authors: | Huang Shengping Feng Wenfeng Zhang Jialin |
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| Institution: | Huang Shengping,Feng Wenfeng,Zhang Jialin,et al. Department of Neurosurgery,Nanfang Hospital,First Military Medical University,Guangzhou 510515 |
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| Abstract: | Objective To clarify the ideal status for treating cerebral aneurysms.Methods 33 cases with cerebral aneurysms embolized via endovascular route between April 1996 and April 2000 were analyzed. Among 33 aneurysms, 4 were balloon embolized (1 giant aneurysm, 3 dissecting aneurysms), 20 MDS (mechanical detachable sprial) embolized, 9 GDC (guglielmi detachable coil) embolized.Results\ Parent arteries occluded in 4 cases, 100% aneurysm occlusion occurred in 8 cases, 95% aneurysm occlusion in 15 cases, 90% aneurysm occlusion in 6 cases. No rebleeding was found during follow up. Angiography was carried out in 8 cases 1 to 6 months after embolization.Recurrence occurred in 3 cases. Conclusion Endovascular embolization of cerebral aneurysms is effective in preventing rebleeding. However, to obtain long term stable embolization, compact packing of aneurysm sac is needed. |
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| Keywords: | Aneurysm\ Embolization\ Endovascular\ MDS GDC |
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