介入栓塞治疗动脉瘤性蛛网膜下腔出血102例临床分析

Interventional Embolization Therapy in Aneurysmal Subarachnoid Hemorrhage:Clinical analysis of 102 Cases

目的：总结分析动脉瘤性蛛网膜下腔出血介入栓塞治疗临床疗效、并发症及防范措施。方法：应用介入栓塞的方法对102例动脉瘤性蛛网膜下腔出血病例进行治疗。结果：痊愈91例,好转7例（遗留不同程度肢体功能障碍）,自动出院3例,死亡1例。术后门诊随访60例,入院造影随访10例,其中5例复发。随访时间6月~3年。随访期间无再出血病例。结论：介入栓塞手术是治疗动脉瘤性蛛网膜下腔出血的有效方法。

Objective： To analyze the clinical curative effect, complications and the preventive measures of interventional embolization in treatment of aneurysmal subarachnoid hemorrhage. Methods： One hundred and two patients of aneurysmal subarachnoid hemorrhage were treated with interventional embalization, data were retrospectively studied. Results： Of all the 102 cases,91 cases were cured,7 cases were symptom improved with different degrees of limb dysfunction, 3 cases were automatic discharge and 1 case was dead. Sixty cases were outpatient follow-up from 6 month to 3 years after operation,10 cases were re-hospitalized and angiographic followed-up. There were 5 cases of recurrence and no rebleeding observed. Conclusion： Interventional embolization was an effective therapy in treatment of aneurysmal subarachnoid hemorrhage.