摘要
目的探讨单一治疗方法(开颅夹闭或血管内栓塞)不能完全治愈颅内动脉瘤的再处理。方法回顾性分析采用开颅夹闭或血管内栓塞治疗的13例颅内动脉瘤患者的临床资料,包括影像学结果、治疗方法和疗效。结果13例患者中,4例初次治疗选用开颅夹闭,9例初次治疗选用血管内栓塞。共患有动脉瘤18个,其中大脑中动脉分叉部动脉瘤3个,前交通动脉动脉瘤8个,后交通动脉动脉瘤4个,胼周动脉瘤2个,基底动脉尖端动脉瘤1个。13例中4例有多发动脉瘤。血管内栓塞后,7例复发或残余动脉瘤行再次开颅夹闭术;手术夹闭联合血管内栓塞处理颅内多发动脉瘤3例;开颅夹闭后残余动脉瘤3例行血管内栓塞治疗。所有患者均治愈出院,临床随访1个月至3年,患者临床症状无复发表现。结论开颅夹闭联合血管内栓塞治疗初次处理复发、残余动脉瘤以及颅内多发动脉瘤是安全、有效的治疗方法。
Objective To investigate the efficacy and strategy of retreatment for incompletely obliterated intracranial aneurysm treated with surgical clipping or endovascular embolization before.Methods The clinical data of 13 patients with intracranial aneurysm treated with surgical clipping or endovascular embolization were analyzed retrospectively.Results Of the 13 patients,4 patients underwent surgical clipping and 9 patients underwent endovascular embolization as the initial treatment.There were 18 aneurysms in 1...
出处
《中国脑血管病杂志》
CAS
2008年第11期494-498,共5页
Chinese Journal of Cerebrovascular Diseases
关键词
颅内动脉瘤
显微外科手术
栓塞
治疗性
Intracranial aneurysm
Microsurgery
Embolization
therapeutic
