颅内巨大动脉瘤诱导式栓塞治疗的临床研究

发布时间：2018-01-08 06:04

本文关键词：颅内巨大动脉瘤诱导式栓塞治疗的临床研究　出处：《中国当代医药》2016年35期 　论文类型：期刊论文

【摘要】：目的评价诱导式栓塞治疗对颅内巨大动脉瘤(GIA)的临床意义。方法收集2011年1月~2013年7月我院因GIA行介入治疗的20例(20枚)患者,具备完整的临床资料,其中行弹簧圈诱导式栓塞术治疗10例,载瘤动脉闭塞术治疗10例,随访6~24个月,评价术后即刻造影结果及随访造影结果。结果行弹簧圈诱导式栓塞术的患者术后造影:完全闭塞8例(80%),大部分闭塞2例(20%)。行动脉闭塞术的患者术后造影:完全闭塞6例(60%),大部分闭塞2例(20%),部分闭塞2例(20%)。末次随访造影:行弹簧圈诱导式栓塞术的患者均为完全闭塞;行动脉闭塞术的患者,7例为完全闭塞,1例为大部分闭塞,2例再开放经覆膜支架治疗后转为完全闭塞。结论弹簧圈诱导式栓塞术后即刻造影结果及随访造影结果均优于载瘤动脉栓塞术。
[Abstract]:Objective to evaluate the clinical significance of inducible embolization in the treatment of giant intracranial aneurysms. Methods from January 2011 to July 2013, 20 patients with GIA underwent interventional therapy in our hospital. Patient. There were 10 cases treated with coiling coil induction embolization and 10 cases with aneurysm occlusion. The follow-up was 6 ~ 24 months. Results Inductive coils embolization was performed in 8 patients with complete occlusion. Two patients with most occlusions underwent arterial occlusion, 6 patients with total occlusion and 2 patients with most occlusions. Partial occlusion was found in 2 cases. All the patients underwent coils induced embolization were completely occluded. Total occlusion was found in 7 patients with arterial occlusion, and one patient was mostly occluded. Conclusion the results of immediate angiography and follow up after coils induced embolization are superior to that of embolization of aneurysm carrier artery.
【作者单位】：江西省赣州市人民医院神经外科;
【基金】：江西省赣州市指导性科技计划项目(GZ2011ZSF211)
【分类号】：R743
【正文快照】： 颅内巨大动脉瘤(giant intracranial aneurysm,GIA)是指最大直径25 mm的动脉瘤,发生率较高,占颅内动脉瘤的5%左右,可分为梭形、囊状及夹层3种,多发于50~70岁,位于前循环的约占66.7%(颈内动脉海绵窦段、眼动脉),位于后循环的约占33.3%(基底动脉分叉处、大脑后动脉)[1]。通常表

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