颅内动脉瘤的血管内治疗(附127例分析)

Endovascular treatment of intracranial aneurysms:analysis of 127 cases

目的总结颅内动脉瘤的血管内治疗经验。方法选择不同血管内治疗方案,对127例131个颅内动脉瘤进行栓塞,并总结分析其临床资料。结果①应用弹簧圈栓塞120例124个动脉瘤,术后发生神经功能障碍14例,死亡4例;术后2个月,动脉瘤复发或再通11例,予以再次栓塞8例,开颅夹闭3例。②覆膜支架置入术治疗3例3个动脉瘤,死亡1例。③载瘤动脉闭塞4例4个动脉瘤,无死亡病例。结论血管内治疗颅内动脉瘤是一种微创、安全、有效的治疗方法。

Objective To summarize clinical experience in endovascular treatment of intracranial aneurysms. Methods One hundred and twenty-seven patients with 131 intracranial aneurysms were treated by embolization with different treatment protocols, and the clinical data was analyzed. Results （1） Intraeranial aneurysms were embolized with Guglielmi Detachable Coil （GDC） in 120 patients with 124 aneurysms, nerve dysfunction occurred in 14 patients, and 4 patients died; 11 aneurysms recurred in 2 months, 8 of them were re-embolized and 3 were dipped by microsurgery. （2） Three patients with 3 aneurysms were treated with intracranial covered stent, with 1 dead. （3） Four patients with 4 aneurysms were embolized by parent artery occlusion, none of them died. Conclusion Endovascular treatment is a minimally invasive, safe and effective technique for treating intracranial aneurysms.