颅内多发动脉瘤的介入诊治分析

目的：探讨血管内介入诊治颅内多发动脉瘤的临床效果。 方法：选取我院神经外科2016年1月至2018年6月收治的29例颅内多发动脉瘤患者，均行脑血管造影后确诊接受血管内单纯或支架辅助的弹簧圈填塞治疗。采用Raymond分级评价患者动脉瘤填塞的程度，格拉斯哥预后评分（GOS）评价治疗效果。 结果：对29例患者的40枚动脉瘤实施了介入治疗，按照Raymond分级，Ⅰ级（完全填塞）30枚，Ⅱ级（近全栓塞）4枚，Ⅲ级（部分栓塞）2枚，Pipeline密网支架覆盖瘤颈4枚。术后患者的GOS评分为5分18例，4分8例，3分2例，2分1例。 结论：采用血管内介入方式治疗颅内多发动脉瘤可以取得较高的动脉瘤填塞程度及较好的临床效果和预后。

Interventional diagnosis and treatment analysis of multiple intracranial aneurysms

Objective:To investigate the clinical effect of intravascular intervention for the treatment and diagnosis of multiple intracranial aneurysms. Methods:The clinical data of 29 patients diagnosed with multiple intracranial aneurysms from January 2016 to June 2018 were analyzed. All patients underwent DSA and were diagnosed as multiple intracranial aneurysms. Among them, 29 patients received coiling or stent-assisted coiling interventional therapy. They were evaluated for therapeutic effects from the degree of postoperative aneurysm embolism and Glasgow outcome score (GOS) . Results:Interventional therapy was performed on 40 aneurysms of 29 patients. According to Raymond embolism classification, 30 aneurysms were Raymond I, 4 aneurysms were Raymond II, 4 aneurysm were Raymond III and the Pipeline stent covered 4 aneurysms. According to Glasgow outcome score, 18 patients were GOS 5, 8 patients were GOS 4, 2 patients were GOS 3 and 1 patient was GOS 2. Conclusions:The use of intravascular intervention for the treatment of multiple intracranial aneurysms can achieve better degree of aneurysm embolism and clinical results and prognosis.