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血管内介入治疗颅内破裂微小动脉瘤的疗效分析

孙骏 喻永涛 焦建同 吴德权 王诚 邵君飞

临床神经外科杂志2018,Vol.15Issue(1):8-11,4.
临床神经外科杂志2018,Vol.15Issue(1):8-11,4.DOI:10.3969/j.issn.1672-7770.2018.01.002

血管内介入治疗颅内破裂微小动脉瘤的疗效分析

Analysis on endovascular embolization for intracranial ruptured very small aneurysms

孙骏 1喻永涛 1焦建同 1吴德权 1王诚 1邵君飞1

作者信息

  • 1. 214023无锡,南京医科大学附属无锡市人民医院神经外科
  • 折叠

摘要

Abstract

Objective To explore the clinical efficacy and safety of endovascular embolization for intracranial ruptured very small aneurysms.Methods The clinical data of 39 patients with intracranial ruptured very small aneurysms were analyzed retrospectively.All patients were treated by endovascular embolization.Angiography was performed immediately after embolization to test the efficacy of treatment.Results Angiography showed that complete occlusion was achieved in 30 cases(76.9%),incomplete occlusionin 9(23.1%)(aneurysm neck residue in 5 and partial occlusion in 4).All patients were clinically cured and discharged,and restored independent living ability.34 cases were followed up for 6-12 months with angiography test.The result showed that no recurrence was found in 25 complete occlusion cases,and in 9 incomplete occlusion cases,except 2 cases without changes,all other cases were occluded.The follow-up showed no re-bleeding occurred. Conclusions The results of follow-up are satisfactory.Endovascular embolization for intracranial ruptured very small aneurysms is safe and effective.

关键词

颅内微小动脉瘤/破裂/介入治疗

Key words

intracranial tiny aneurysm/rupture/interventional treatment

分类

医药卫生

引用本文复制引用

孙骏,喻永涛,焦建同,吴德权,王诚,邵君飞..血管内介入治疗颅内破裂微小动脉瘤的疗效分析[J].临床神经外科杂志,2018,15(1):8-11,4.

基金项目

国家自然科学基金青年项目(81502159) (81502159)

国家自然科学基金面上项目(81672487) (81672487)

临床神经外科杂志

OACSTPCD

1672-7770

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