| 脑血管痉挛的选择动脉灌注及血管成型术治疗 |
| |
| 引用本文： | 陈军,陈覃,司宪平,李爱民,施辉,王富元,吴海滨,江伟,刘希光,孙维晔.脑血管痉挛的选择动脉灌注及血管成型术治疗[J].临床神经外科杂志,2005,2(2):49-51. |
| |
| 作者姓名： | 陈军 陈覃 司宪平 李爱民 施辉 王富元 吴海滨 江伟 刘希光 孙维晔 |
| |
| 作者单位： | 徐州医学院附属连云港医院神经外科,222002 |
| |
| 基金项目： | 江苏省普通高校自然科学研究项目（2002KJD320036） |
| |
| 摘 要： | 目的 探讨早期超选择动脉内灌注及血管成型术（PTA）治疗脑血管痉挛（CVS）。方法对76例CVS病人，在全脑DSA造影中明确痉挛部位，其中6例近端、局限性CVS采用PTA，而远端、弥漫性CVS采用超选择脑动脉内灌注0．3％罂粟碱及溶栓药物治疗，直至血管口径接近正常。结果痉挛血管全部有改善．术后临床状态和神经功能状态均得到改善，无死亡。术后3月随访，Jennett预后良好64例（77．28％），较差（重残或植物状态）12例（18．18％），死亡3例（4．54％），死亡原因均为颅外因素。结论超选择动脉灌注及血管成型术是治疗脑血管痉挛的直接而有效的方法。
|
| 关 键 词： | 蛛网膜下腔出血 血管痉挛 经皮腔内血管成型术 罂粟碱 |
| 文章编号： | 1672-7770（2005）020049-03 |
| 收稿时间： | 2004-10-20 |
| 修稿时间： | 2005-01-27 |
Combined selective travuscular infusion with percutaneous transluminal angioplusty for cerebral vusospusm following subarachnoid hemorrhage |
| |
| CHEN Jun, CHEN Tan, SI Xian-ping,et al..Combined selective travuscular infusion with percutaneous transluminal angioplusty for cerebral vusospusm following subarachnoid hemorrhage[J].Journal of Clinical Neurosurgery,2005,2(2):49-51. |
| |
| Authors: | CHEN Jun CHEN Tan SI Xian-ping |
| |
| Institution: | CHEN Jun, CHEN Tan, SI Xian-ping, et al. |
| |
| Abstract: | Objective To evaluate the therapeutic effects of the selective intra-arterial infusion and percutaneous transluminal angioplasty ( PTA) in the treatment of cerebral vasospasm (CVS) following subarachnoid hemorrhage. Methods 76 cases with CVS had been treated by local intravascular infusion of 0. 3% papaverine at the site of vasospasm. PTA was used to eliminate the stenosis in extracranial arteries in 6 cases,combined with infusion of papaverine. Rusults After the operation, the clinical symptoms and neural function improved. Of 76 cases with CVS,64(77. 28%) had favourable prognosis in Jenett, 12 (18. 18%) severely disabled or survived as persistent,3(4. 54%) died. Conclusion The selective intra-arterial infusion of papaverine combined with PTA is an effective method in the treatment of CVS. |
| |
| Keywords: | subarachnoid hemorrhage vasospasm percutaneous transluminal angioplasty papaverine |
| 本文献已被 CNKI 维普 等数据库收录！ |
|
