颅内破裂动脉瘤电解可脱卸弹簧圈栓塞治疗时机的选择与疗效分析

Outcome related to timing of GDC embolization in 130 patients with ruptured intracranial aneurysms

目的 分析颅内破裂动脉瘤患者应用GDC栓塞治疗的时机选择与疗效的关系。方法 对 130例颅内破裂动脉瘤患者应用GDC栓塞 ,根据破裂出血后至栓塞时间分组 ,分析栓塞程度、并发症及临床预后与手术时机之间的关系。结果 130例 16 1枚动脉瘤均得到栓塞 ,超早期治疗致密栓塞率为 89 11% ,早期治疗与延迟治疗 (72h以上 )分别为 80 5 6 %、75 % ,7 6 9%患者发生手术并发症 ,89 2 3%患者恢复满意。结论 尽早采用GDC栓塞治疗颅内破裂动脉瘤 ,栓塞满意 ,并发症少 ,为后续治疗创造条件 。

Objective To investigate the relationship between effects and embolization timing of ruptured intracranial aneurysms.Methods The ruptured aneurysms were embolized with GDCs,we analysed the relationship between embolization timing and periprocedure complications,clinical outcome and angiographic results.Results The total occlusion was obtained in 89 11 percent of patients who were embolized super-early,while 80 56% and 75% in early-embolized subgroup and delay subgroup respectively.The incidence of complication was about 7 69%,and 89 23% had a good recovery.Conclusion The ruptured aneurysms must be embolized super-early to get a more satisfied outcome with less complications.