搭桥血管重建技术在颅内复杂动脉瘤治疗中的临床应用

Analysis and Research of Clinical Application of Bypass and Revascularization Technique in the Treatment of Intracranial Complex Intracranial Aneurysm

目的：评价搭桥血管重建技术在颅内复杂动脉瘤治疗中的临床应用效果。方法：回顾性分析我院2008年9月~2011年4月收治的颅内复杂动脉瘤患者36例的临床资料,均采用搭桥血管重建技术治疗,搭桥后慢性阻断颈部颈内动脉、闭塞载瘤动脉或孤立动脉瘤,观察患者的临床效果。结果：本组患者恢复良好20例、轻度残疾12例、重度残疾2例、植物生存1例、死亡1例;治疗后患者的格拉斯哥（GCS）预后评分均明显改善,与入院时比较,差异有统计学意义（P〈0.05）;本组患者无严重并发症发生。结论：搭桥血管重建技术在颅内复杂动脉瘤治疗中的临床应用效果满意,能明显改善患者的GCS评分结果,安全性好,是值得临床信赖的治疗方案。

Objective：To observe the clinical application effect of bypass and revascularization technique in the treatment of intracranial complex intracranial aneurysm.Methods：From September 2008 to April 2011 in our hospital,the clinical data of 36 patients with intracranial complex intracranial aneurysm were analyzed retrospectively,they were treated by bypass and revascularization technique,after bypass blocked chronic neck carotid artery,occlusion of the aneurysmartery or isolated aneurysms,the efficacy was observed.Results：In this group,20 patients gained good recovery,12 patients were in mild disability,2 patients were in severe disability,1 was in persistent vegetative and 1 died;after treatment,the Benguela Glasgow（GCS） prognosis score of patients were significantly improve,compared with the time of admission,the difference was statisticallysignificance（P0.05）;this group of patients without serious complications.Conclusion：Bypass and revascularization technique in the treatment of intracranial complex intracranial aneurysm has satisfactory results,can significantly improve the patient＇s GCS score results,and reliable security,it is the trust clinical treatment programs.