摘要
目的探讨老年人颅内破裂动脉瘤患者特点和血管内栓塞治疗的效果。方法回顾性分析2008年1月至2011年12月收治的32例(共35个)颅内动脉瘤老年病人的临床资料。根据动脉瘤形态,分别采用单纯弹簧圈栓塞27个,球囊辅助技术8个。结果动脉瘤完全栓塞23个,次全栓塞8个,不全栓塞4个。术后3个月按GOS评分:5分(恢复良好)18例,4分(轻度残疾)8例,3分(重度残疾)2例,2分(植物生存)1例,1分(死亡)3例。结论老年动脉瘤患者基础疾病多,血管内栓塞是治疗老年破裂动脉瘤的一种安全、有效的方法。
Objective To explore the characteristics and endovascular therapy of ruptured intracranial aneurysms in elderly patients. Methods The clinical data of 32 elderly patients （over 60 years） with 35 intracranial aneurysms which were endovascularly embolized by the coils or balloons-assisted technique were analyzed retrospectively. Results Of 15 aneurysms, 23 were totally occluded, 8 subtotally and 4 partially. Of 32 patients, 18 were recovered well, 8 mildly disabled, 2 severely disabled, 2 survived vegetatively and 3 died according to GOS. Conclusions The endovascular therapy was a safe and effective method to treat ruptured cerebral aneurysms in the elderly patients who had more basic disease compared to the younger.
出处
《中国临床神经外科杂志》
2013年第1期16-18,共3页
Chinese Journal of Clinical Neurosurgery
关键词
颅内动脉瘤
血管内栓塞
老年人
效果
Intracranial aneurysm
Embolization
Older people
Effect
