椎基底动脉瘤血管内介入治疗40例临床护理

Clinical nursing care in the treatment of 40 patients with vertebrobasilar aneurysm by endovascular interventional therapy

目的:探讨椎基底动脉瘤血管内介入治疗的护理要点、并发症的防治及疗效。方法:分别对40例椎基底动脉瘤的患者行单纯微弹簧圈栓塞和支架结合弹簧圈栓塞术,围术期经精心护理,加强病情观察,预防并发症发生。结果:40例患者全部治愈出院。38例致密栓塞,2例大部填塞。术中血管造影检查,动脉瘤不显影,载瘤动脉及邻近主要血管分支通畅,均无再出血或血栓栓塞等相关并发症。结论:血管内介入治疗是治疗椎基底动脉瘤安全、有效的方法,术前、术后的积极处理是提高手术成功率、减少并发症的关键。

Objective ： To discuss the main points of nursing care, prevention of complications and efficacy in the treatment of vertebrobasilar aneurysm by endovascular interventional therapy. Methods： 40 patients with vertebrobasilar aneurysm were treated with conventional coiling embolism and balloon - assisted coiling embolism. Meticulous nursing care and close observation were taken to prevent the incidence of complications in perioperative period. Results ： 40 patients were cured and discharged from hospital. The complete aneurysm occlusion was found in 38 patients and incomplete occlusion in 2 patients. Angiographic results immediately showed none aneurysms were visualized after embolization, the parent vessel of aneurysms and mainly adjacent vessel branches were unobstructed. The complications such as hemorrhage and thromboembolism did not occur. Conclusion： Endovascular interventional therapy is one of safe and effective methods in the treatment of vertebrobasilar aneurysms. The active preoperative and postoperative treatment and nursing care are very important to increase the success rate of occlusion and reduce complications.