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颅内微小破裂动脉瘤血管内介入治疗体会

朱青峰 郭铁柱 王国芳

中国实用神经疾病杂志2017,Vol.20Issue(22):59-63,5.
中国实用神经疾病杂志2017,Vol.20Issue(22):59-63,5.DOI:10.3969/j.issn.1673-5110.2017.22.016

颅内微小破裂动脉瘤血管内介入治疗体会

The endovascular treatment for mini ruptured intracranial aneurysms

朱青峰 1郭铁柱 2王国芳1

作者信息

  • 1. 解放军第264医院神经外科,山西太原030001
  • 2. 长治医学院附属和济医院神经外科,山西长治046000
  • 折叠

摘要

Abstract

Objective To explore the method,clinical effect of mini ruptured intracranial aneurysms with endovascular treatment.Methods From 2006 January to 2016 June,78 cases of mini ruptured intracranial aneurysms were treated with endovascular treatment,the clinical data were retrospectively analyzed.Results The aneurysms during the endovascular treatment,1 coil had run escaped in 1 case,and no artery thromboembolic events were occurred.Immediate postoperative angiography showed that dense embolization in 70 cases (89.74 %),the dense filling in 8 cases (10.26 %).According to GOS score evaluation,good recovery was observed in 59 patients (75.64 %),mild disability in 15 cases (19.23 %),severe disability in 3 patients (3.8 %),and 1 cases died (1.28%).65 patients were accepted follow-up for 6 to 24 months,the complete occlusion was achieved in 62 aneurysms,1 case with residual neck but no change of aneurysm,1 case accepted the endovascular treatment again for the reoccurrence of aneurysm.Conclusion For mini ruptured intracranial aneurysms,by adopting the corresponding intervention operation skills,endovascular treatment is a safe choice with better clinical effect.

关键词

微小动脉瘤/破裂/介入治疗/安全性/临床效果

Key words

Mini intracranial aneurysms/Ruptured/Endovascular therapy/Safety/Clinical effect

分类

医药卫生

引用本文复制引用

朱青峰,郭铁柱,王国芳..颅内微小破裂动脉瘤血管内介入治疗体会[J].中国实用神经疾病杂志,2017,20(22):59-63,5.

基金项目

山西重点研发计划项目(社会发展方面),编号:2016030321061 (社会发展方面)

中国实用神经疾病杂志

1673-5110

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