血管内治疗颅内动脉瘤（附45例报告）

目的通过总结分析颅内动脉瘤45例患者血管内治疗的临床资料，探讨血管内治疗颅内动脉瘤的效果和减少并发症发生的方法。方法院内动脉瘤45例，依据Hunt—Hess分级，Ⅰ级16例、Ⅱ级20例、Ⅲ级9例。采用Seldinger技术经股动脉穿刺，超选择插管至颅内动脉瘤部位作栓塞治疗，术后行腰大池或腰穿引流血性脑脊液和采用“3H”疗法防止或减少并发症的发生。结果45例（个）颅内动脉瘤全部成功栓塞，随访3个月～4年，无再出血发生。结论血管内治疗颅内动脉瘤是一种有效、确切的方法；术后早期引流血性脑脊液、积极药物治疗是减少并发症的发生、提高治疗效果的重要方法。

Objective To summarize the treatment experience and evaluate outcome of endovascular treatment of intracranial aneurysm. Methods 45 cases of intracranial aneurysm were treated with endovascular treatment. The pretreatment Hunt and Hess score was grade 1 in 16 patients, grade 2 in 20, grade 3 in 9. The hemorrhage was early removed from subarachnoid cavity after operation. Results 45 aneurysms were cured successfully. There was no rebleeding during follow -up period （3 -48 months）. Conclusion Endovascular treatment is an effective technique for treating intracranial aneurysm. Advances in techniques and correct treatment of complications will decrease the complications and improve the future outcome.