电解可脱式微弹簧圈栓塞治疗颅内动脉瘤

Endovascula treatment of intracranial aneurysms with guglielmi detachable coil

目的探讨电解可脱式微弹簧圈(GDC)栓塞治疗颅内动脉瘤的方法和疗效。方法采用美国波士顿公司GDC栓塞治疗17例患者的18个颅内动脉瘤,其中15例蛛网膜下腔出血患者术前Hunt和Hess分级Ⅰ、Ⅱ级10例,Ⅲ级3例,Ⅳ级2例。结果13例痊愈,3例轻度短期神经功能障碍,1例死亡。结论GDC栓塞是治疗颅内动脉瘤较为理想的方法之一。

Objective To assess the value of embolization of intracranial aneurysms with GDC. Methods 17 patients with 18 intrtacranial aneurysms were treated with GDC. 15 patients presented SAIl with the following classifications of Hunt and Hess grading：grade Ⅰ and Ⅱ with 10 patients respectively, Ⅲ with 3,Ⅳ with 2. Results 13 patients had excellent clinical outcomes, and 3 patients suffered from transient parlysis after embolization, but recovered following medical treatment medical treatment and one patient died, Concision Endovascular treatment of intraeranial aneurysms with GDC is a better alternative hut a long-term follow-up is necessary.