国际神经病学神经外科学杂志2011，Vol.38Issue(4)：309-313,5.
颅内动脉瘤的显微手术和血管内栓塞治疗的疗效分析
Analysis on microsurgery and endovascular treatment for intracranial aneurysm
文红波 1杨炼球 1孙学志 1余罗星 1周少华1
作者信息
- 1. 湖南省益阳市中心医院神经外科,湖南益阳413000
- 折叠
摘要
Abstract
Objective To explore the option of the approaches and timing, the curative effect, intraoperative and postoperative treatment of microsurgery and endovascular intervention for intracranial aneurysm. Methods 246 intracranial aneurysms (including 20 cases of multiple intracranial aneurysms) in a total of 215 cases were analyzed retrospectively. One hundred and twenty-seven intracranial aneurysms in 121 cases underwent microsurgery, while 119 intracranial aneurysms in 104 cases underwent endovascular therapy. Results All patients evaluated by GOS(Glascow Outcome Scales). Among the 121 cases with microsurgery, 104 cases (86.0% ) had good recovery, 8 cases (6.6% ) were moderate disability, 6 cases (5.0% ) were severe disability, 1 case (0.8% ) was in vegetative status, and 2 cases (1.6%) dead. Among those 104 cases with endovascular treatment, 87 cases (83.7 % ) had good recovery, 7 cases (6.7% ) were moderate disability, 4 cases (3.8% ) were severe disability, 1 case (1.0% ) was in vegetative status, and 5 cases (4.8% ) dead. Three cases (2. 9% ) were unsuccessful by this means, because of failure in the intubation of micro catheter, but cured with microsurgery treatment afterwards. Conclusions Both microsurgery and endovascular treatment for intracranial aneurysm are effective treatment. With their own merits and demerits, those two methods should be approached complementarily, Whether to choose microsurgery or endovascular treatment relies on not only the size and position of the aneurysm, but also the experience of the surgeon and the will of patients as well.关键词
颅内动脉瘤/显微手术治疗/血管内治疗/疗效Key words
Intracranial aneurysm/ Microsurgery/ Endovascular treatment/ Curative effect引用本文复制引用
文红波,杨炼球,孙学志,余罗星,周少华..颅内动脉瘤的显微手术和血管内栓塞治疗的疗效分析[J].国际神经病学神经外科学杂志,2011,38(4):309-313,5.
