血管内治疗颅内动脉瘤33例临床分析

Endovascular treatment of intracranial aneurysms:a retrospective study of 33 cases

目的探讨血管内治疗颅内动脉瘤的方法及效果。方法 33例颅内动脉瘤患者共有37枚动脉瘤,其中28枚采用单纯弹簧圈栓塞,9枚采用支架辅助弹簧圈栓塞。结果完全栓塞30枚,次完全栓塞6枚,不完全栓塞1枚。2例Hunt-HessⅤ级患者死亡;1例支架辅助弹簧圈栓塞患者术后出现再出血,经治疗后痊愈;余患者术后随访1个月～2年,未发生再出血和动脉瘤复发。结论血管内治疗颅内动脉瘤是一种安全、微创、有效的方法。宽颈动脉瘤应用支架辅助技术治疗操作简单、并发症少。

Objective To explore the technique of endovascular treatment of the intracranial aneurysms. Methods The clinical data of 33 patients with 37 intracranial aneurysms, of which, 28 were endovaseularly embolizaed by the coils and 9 by the stent-assisted coils, were analyzed retrospectively. Results Of 37 aneurysms, 30 were totally occluded, 6 subtotally and 1 partially. Two patients with Hunt-Hess V died after the operation. No rebleeding and aneurysmal reeanalization occurred in 30 patients followed-up from 1 to 24 months except one patient in whom post-operative rebleeding occurred and was controlled immediately. Conclusions The endovascular treatment is a safe, minimally invasive, and effective method to treat the intracranial aneurysms. The stent-assisted technique by which the wide-neck aneurysms are endovascularly embolized, is easily mastered, and produces few complications.