颅内巨型动脉瘤的血管内介入治疗

Interventional endovascular therapeutic modalities of giant intracranial aneurysm

目的对近７年来治疗的２８例巨型动脉瘤病例进行分析，探讨其治疗方法及其疗效，对球囊闭塞近端载瘤动脉的治疗方法进行评价方法将近年来治疗的巨型动脉瘤病例进行分组，比较其治疗方法的优缺点。血管内治疗主要采用球囊闭塞近端载瘤动脉。结果１６例采用球囊闭塞近端载瘤动脉病例中１３例动脉瘤完全闭塞，其中４例动脉瘤完全消失。除死亡２例外无病情加重。结论血管内治疗可以使直接手术难于治愈的颅内巨型动脉瘤获得治愈，并且消除其占位效应。

Objective To treat 28 cases of intracranial giant aneurysms in the last 7 years and study the therapeutic methods and their effectiveness on this disease. Method The cases of giant aneurysms were divided into several groups. The advantages and disadvantages of the methods were compared.The main modality of endovasular therapy was to use balloon to occlude the parent artery. Result In the 16 cases treated by the proximal balloon occlusion, 13 were cured angiographically with complete obliteration of the aneurysmal sac and in 4 of them the aneurysms disappeared both on CT and MRI.No deterioration after operation was encountered with the exception of 2 deaths. Conclusion Endovascular therapy can cure the intracranial aneurysms which were difficultly treated by direct open operation.