血管内栓塞治疗130例颅内动脉瘤的临床分析

Clinical analysis of endovascular embolization in the treatment of 130 cases of intracranial aneurysms

目的：评价血管内栓塞治疗颅内动脉瘤的效果及远期疗效。方法对130例不同部位及类型的颅内动脉瘤患者实施多种血管内栓塞技术治疗后的效果及预后进行回顾性分析。结果成功栓塞124例（139个动脉瘤），1例栓塞失败，转手术夹闭成功。6例术中出血，其中3例死亡，3例恢复良好。术后格拉斯哥预后评分（GOS ）：1分3例，2分0例，3分1例，4分3例，5分123例。出院后对患者随访3～48个月，共随访119例（91．5％），平均随访时间为12个月，远期随访（大于6个月）33例（27％）。随访期1例载瘤动脉重度狭窄，行血管成形术，其余患者动脉瘤不显影，神经功能均有不同程度的恢复。结论根据不同颅内动脉瘤采用相应的血管内栓塞技术治疗可有效提高临床治疗效果，降低动脉瘤破裂出血风险，改善患者预后。

Objective To evaluate the efficacy of endovascular embolization in intracranial aneurysm treatment .Methods We retrospectively analyzed 130 patients with different locations and types intracranial aneurysms treated by variety endovascular em‐bolization .The postoperative and long‐term follow up results was examined .Results 124 cases with 139 aneurysms was successful‐ly embolized ,1 case failed but clipping successfully .6 cases suffered from intraoperative bleeding ,3 cases died ,3 cases had a good recovery .The results of Glasgow Outcome Scale after operation：1 score 3 cases ,2 score 0 case ,3 score 1 case ,4 score 3 cases ,5 score 123 cases .119 cases（91% ） were followed up for 3‐48 months with an average of 12 months .33 cases（27% ） achieved long‐term follow‐up（exceeded 6 months） .During follow‐up ,1 case had severe stenosis of the parent artery and received angioplasty .The other cases didn′t see aneurysms in cerebral angiography and showed different degree of neurological function recovery .Conclusion According to the different intracranial aneurysm with endovascular treatment of corresponding intravascular can effectively im‐prove the clinical treatment effect ,reduce the risk of aneurysm rupture ,improve the prognosis of the patients .