Headway duo微导管联合Onyx胶在脑膜瘤切除术前栓塞治疗中的应用分析

Headway duo microcatheter combined with Onyx glue in preoperative embolization of meningiomas

目的评价Headway duo微导管联合Onyx胶在脑膜瘤切除术前栓塞治疗中的应用价值。方法深圳市人民医院神经外科自2015年12月至2017年3月在脑膜瘤切除术前应用Headway duo微导管联合Onyx胶栓塞脑膜瘤12例，按Manelfe脑膜瘤供血方式分型显示Ⅰ型5例，Ⅱ型3例，Ⅲ型2例，Ⅳ型2例。回顾性分析患者的临床资料，通过比较栓塞前后的数字减影血管造影（DSA）肿瘤染色结果评估肿瘤的栓塞程度并记录栓塞相关并发症。结果栓塞术后DSA显示：肿瘤少部分栓塞者0例，部分栓塞者2例，大部分栓塞者5例，肿瘤完全栓塞者5例。仅2例患者在栓塞过程中出现头面部疼痛感觉，操作停止后即消失；本组脑膜瘤切除术中平均出血量为685mL，平均手术时间为4．45h。结论脑膜瘤切除术前应用Headway duo微导管联合Onyx胶栓塞治疗安全、有效，可以起到良好的血流阻断作用，值得临床推广。

Objective To evaluate the clinical value of Headway duo microcatheter combined with Onyx glue in embolization ofmeningiomas. Methods A retrospective analysis on clinical data of 12 patients with meningiomas, admitted to our hospital from December 2015 to March 2017, was performed. According to the blood supply typing ofManelfe meningiomas, 5 were type Ⅰ, 3 were type Ⅱ, 2 were type Ⅲ, and 2 were type Ⅳ. The degrees of embolization were compared by DSA tumor staining before and after embolization; and complications of embolization were recorded. Results Cerebral angiography after embolization demonstrated complete embolization in 5 patients, subtotal embolization in 5, partial embolization in 2, and small amount of embolization in 0. Only 2 had head and face pain in the process of embolization, and these syndromes disappeared once the operation stopped. The mean average blood loss in the surgery was 685 mL and the mean surgical time was 4.45 h. Conclusion Headway duo microcatheter combined with Onyx glue in the embolization of intracranial meningiomas can play a good role in blocking blood flow, and results suggest that this method is safe and effective, worth of clinical promotion.