颅内动脉瘤破裂早期治疗策略

The early treatment strategy of ruptured intracranial aneurysms

回顾分析37例颅内动脉瘤破裂患者临床资料,分析微弹簧圈栓塞或血管内支架成形术(22例)和动脉瘤夹闭术(15例)治疗效果。术后随访6个月至1年,微弹簧圈栓塞或血管内支架成形术组患者预后良好率高于动脉瘤夹闭术组、病残率低于动脉瘤夹闭术组。提示微弹簧圈栓塞或血管内支架成形术可早期处理破裂的颅内动脉瘤,与动脉瘤夹闭术相比,具有创伤小、恢复迅速、住院时间短,以及疗效及安全性高之优点,临床效果满意。

The clinical data and therapeutic results of 37 patients with ruptured intracranial aneurysms were retrospectively analyzed, among whom 22 patients underwent endovascular embolization or angioplasty and stenting, and 15 patients underwent clipping of the aneurysms. All of those patients were followed up for 6-12 months after operation. The recovery rate of the former was obviously higher than the latter, while the disability rate was lower. Compared with clipping, endovascular embolization therapy or stenting in the treatment for ruptured aneurysm has a lot of advantages, such as smaller trauma, faster recovery, shorter hospitalization time, high curative effect and safety, achieving satisfactory clinical effect.