颅内动脉瘤的介入栓塞治疗

Research of interventional treatment for intracranial aneurysms

目的探讨血管内介入栓塞治疗在脑动脉瘤治疗中的应用价值。方法对15例经血管内栓塞治疗及DSA复查的颅内动脉瘤的DSA影像、介入治疗及随诊结果进行回顾性分析并对疗效及安全性进行评价。结果病情按Hunt-Hess法分级I:级4例,Ⅱ级8例,Ⅲ级2例,Ⅳ级1例。均经DSA全脑血管造影确诊后采取血管内栓塞治疗,14例动脉瘤致密栓塞,1例动脉瘤大部栓塞。动脉瘤栓塞术后轻偏瘫2例,死亡1例。结论脑动脉瘤介入栓塞治疗成功率高,术后并发症少,是一种安全、有效的治疗方法。

Objective To explore the value of endovascular interventional therapy in the treatment of intracranial aneurysm.Methods The DSA images,interventional treatment and the results of follow-up of 15 cases that were undergone endovascular embolization and counterchecked by DSA were analyzed in retrospect.And the results and securities of endovascular embolization used for treating intracranial aneurysms were estimated.Results According to Hunt-Hess Grade,the conditions of patients were graded as：grade I in 4 cases,grade II in 8,grade Ⅲ in 2 and grade IV in 1.All the cases were diagnosed by DSA and cured by endovascular embolization.Total embolization was achieved in 14 cases and partial embolization in 1 case.2 cases had hemiparesis and 1 patient died after operation.Conclusion The interventional embolism therapy has a high successful rate and a low post operation complication rate.It is a safe and effective therapy in cerebral aneurysm treatment.