电解可脱卸弹簧圈栓塞颅内动脉瘤

目的 总结２２例颅内动脉瘤电解可脱卸弹簧圈（ＧＤＣ）栓塞治疗，探讨术中操作注意点，手术时机、术中出血、术后再出血的处理。方法 采用ＧＤＣ－１８、ＧＤＣ－１０系统栓塞治疗２２例２４个人动脉瘤。结果 动脉瘤腔完全栓寒６个，栓塞大于９０％６个，栓塞小于９０％２个，１例术后１月半复发，经手术夹闭而愈。全组无死亡。结论颅内动脉瘤的ＧＤＣ栓塞治疗是一较为安全、效果较好的技术。

Intracranial aneurysms treated with the Guglielmi detachable coil (GDC)

Objective To summarize 22 cases with 24 intracranial aneurysms treated with GDC. To discuss the major factors for endovascular treatment, time of the embolization and management of the bleeding during and after the procedure. Methods 22 cases with 24 aneurysms were treated by GDC18 system and GDC10 system. Results Complete embolization was observed in 16 aneurysms, subtotal in 6, and partial in 2. One case with recurrence for rebleeding of the aneurysm after one month and a half of the embolization was cured by surgical clipping. No motality was occurred the procedure. Conclusions Embolization therapy with GDC in intracranial aneurysms is a safe technique with a better efficacy.