颅内动脉瘤致蛛网膜下腔出血的血管内介入治疗的疗效和并发症

Interventional therapy of aneurysms subarachnoid hemorrhages

目的：探讨颅内动脉瘤致蛛网膜下腔出血的血管内介入治疗的疗效和并发症。方法：对我院采用血管内介入治疗的颅内动脉瘤致蛛网膜下腔出血患者30例的临床资料进行分析。结果：30例患者经造影检查均证实为颅内动脉瘤导致的蛛网膜下腔出血，均于全麻下进行血管内介入治疗，29例患者栓塞成功，其中26例患者痊愈出院，术后无失语、偏瘫、意识和智力障碍等严重的后遗症发生，术后随访3年无再出血病例。采用血管内介入治疗后患者的住院时间明显缩短。结论：血管内介入治疗颅内动脉瘤致蛛网膜下腔出血具有适应症广，后遗症少、住院时间短的特点，值得临床推广使用。

Objective：To discuss the therapeutic effect and complications of interventional therapy of aneurysms subaraehnoid hemorrhages. Methods： To analyze the clinical data of 30 patients treated by interventional therapy in our hospital with aneurysms subarachnoid hemorrhages. Result;30 patients with aneurysms subarachnoid hemorrhages were confirmed by digital subtraction angiography. All patients were treated by interventional therapy under general anesthesia. 29 patients sueeessed. There were no postoperative serious sequelae such as aphasia, manifest hemiplegia, disturb- ante of sense and intelligence. No rebleeding developed during 3 years follow--up period. Duration of patient stay was shortened obviously. Conclusion：Interventional therapy of aneurysms subarachnoid hemorrhages is a method with many indications,low risk of operation, few sequelae, and and short duration of patient stay. It was worthy for wildly clinical use.