动脉瘤弹簧圈栓塞术后并发症的防治

Prevention of aneurysm coil embolization of postoperative complications

目的探讨颅内动脉瘤弹簧圈栓塞术后并发症的防治,以提高弹簧圈栓塞术的安全性和有效性。方法回顾性分析因颅内动脉瘤而住院手术的68例病例。结果动脉瘤共有68例,其中单发动脉瘤56例,多发动脉瘤12例。预后与发病时的血糖、血脂、术者技术及弹簧圈术后并发症等因素有关。术后死亡2例,死亡率2.94%;预后良好占97.06%。结论通过对颅内动脉瘤弹簧圈栓塞手术术中、术后并发症的正确认识,可以明显降低并发症的发生率及死亡率。

Objective To discussion prevention coil embolization of intracranial aneurysms postoperative complications and to improve the safety and efficacy of coil embolization. Methods A retrospective analysis of 68 cases during the period were hospitalized due to intracranial aneurysm surgery. Results A total of 68 cases of aneurysm,single aneurysm were in 56 cases and 12 cases of multiple aneurysms. Prognostic factors and glucose,lipids,surgeon coil technology and the incidence of postoperative complications related to time. Two patients died of postoperative mortality（ 2. 94%）; Good prognosis accounted for 97. 06%. Conclusion It can significantly reduce the complications and mortality through a correct understanding of coil embolization of intracranial aneurysms intraoperative and postoperative complications.