摘要
目的探讨早期血管内栓塞颅Hunt-Hess分级Ⅲ-Ⅳ级动脉瘤的临床疗效及应用价值。
方法回顾性分析早期血管内栓塞治疗颅内动脉瘤52例的临床疗效。
结果完全栓塞22例，大部分栓塞10例。1例死亡，并发动脉瘤破裂5例、脑血管痉挛6例、缺血性卒中4例、4例再次栓塞后痊愈。
结论早期血管内栓塞是治疗颅内Hunt—Hess分级Ⅲ-Ⅳ级动脉瘤较理想方法。
Objective To discuss the clinical therapeutic effect and value of early endovascular embolism treatment for intracranial hunt-Hess grades Ⅲ and grades Ⅳaneurysms.
Methods A retrospective analyse of 32 patients with 32 intracranial aneurysms were treated with microcoils in early period. Results Among 32 aneurysms, 22 aneurysms were completely occluded, 10 were partially occluded. In these patients,one case died after the embolization,4 cases had cerebral infarction and 6 cases had cerebral vasospasm,4 recurring cases were cured by the second microcoils embolization.
Conclusion Early endovascular embolization with microcoils is a good choice for hunt-Hess grades Ⅲ and grades Ⅳ aneurysms.
出处
《中国卒中杂志》
2009年第5期376-379,共4页
Chinese Journal of Stroke
