摘要
目的探讨颅内后循环复杂动脉瘤的诊断及治疗。方法回顾分析38例颅内后循环复杂动脉瘤病人资料,Hunt-Hess分级0级5例,Ⅰ级10例,Ⅱ级19例,Ⅲ级3例,Ⅳ级1例;其中开颅手术3例,介入治疗25例,介入联合开颅治疗1例,未治疗9例。结果出院时根据GOS评分:4~5分20例,2~3分15例,死亡3例。17例经3个月~1.5年随访,其中GOS4~5分12例,2~3分2例,死亡3例。结论 DSA尤其3D-DSA是诊断颅内后循环动脉瘤的金标准,颅内后循环复杂动脉瘤多以介入治疗为主,其治疗应遵循个体化原则。
Objective To explore diagnosis and treatment for complex aneurysms in intracranial posterior circulation.Methods The clinical data of 38 patients with complex aneurysms in intracranial posterior circulation were analyzed retrospectively,including grade 0 in 5 patients,grade Ⅰ in 10,grade Ⅱ in 19,grade Ⅲ in 3 and grade Ⅳ in 1 according to Hunt-Hess score.Microcraniotomy was performed in 3 patients,interventional therapy in 25,interventional therapy combined with craniotomy in 1 and no treatment in 9.Results The therapeutic effect at discharge was evaluated by Glasgow outcome scale(GOS):4-5 in 20 patients,2-3 in 15 and 3 patients died.Seventeen patients were followed-up from 3 months to 1.5 years:GOS 4-5 in 12 cases,2-3 in 2 and death in 3.Conclusions The digital subtraction angiography(DSA),especially three dimension-DSA(3D-DSA),is a gold standard for diagnosis of intracranial aneurysms in the posterior circulation.The interventional therapy complying with individual principles is the main treatment for complex aneurysms in intracranial posterior circulation.
出处
《中国微侵袭神经外科杂志》
CAS
北大核心
2010年第10期449-452,共4页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅内动脉瘤
蛛网膜下腔出血
颅内血肿
intracranial aneurysms
subarachnoid hemorrhage
intracranial hematoma