摘要
目的:探讨颅内多发动脉瘤血管内治疗的适应证、可行性、疗效及预后。方法:收集2011年4月至2014年9月于我科诊断并行栓塞治疗的63例颅内多发动脉瘤患者的临床资料,并对其疗效和适应证进行回顾性分析。结果:63例患者共150个动脉瘤,其中47例为2个,10例为3个,4例为4个,2例为5个。55例一期栓塞所有动脉瘤,1例分次栓塞动脉瘤,7例只处理责任动脉瘤。共栓塞动脉瘤139个,其中138个(99.3%)完全栓塞,1个(0.7%)为次全栓塞,80个使用支架。出院时格拉斯哥预后评分(Glasgow outcome scale,GOS):5分45例,4分7例,3分6例,2分5例。出院后5~48月27例患者进行DSA随访,3例3个动脉瘤复发,其中1例同时伴有新生。结论:血管内治疗能一期栓塞颅内多发动脉瘤,疗效较好,致密栓塞以及防治术后并发症是保证疗效的重要因素。
Objective:To evaluate the results of endovascular treatment for multiple intracranial aneurysms. Methods:The clinical data of 63 patients with multiple intracranial aneurysms between April 2011 and September 2014 in our department were collected and retrospectively analzyed. Results :A complete endovascular occlusion was achieved in 55 patients in the first session;one patient achieved complete embolization by twice surgery;responsible aneurysms was occluded in seven patients. All 63 patients harbored150 aneurysms;47 patients harbored 2 aneurysms,10 patients harbored 3 aneurysms,4 patients harbored 4 aneurysms, 2 patients harbored 5 aneurysms. Totally 139 embolism aneurysms were found, of which 138 cases(99.3%)were complete embolism aneurysms and 1 case(0.7%)was neck remnants;80 stents were used. Glasgow outcome scale(GOS)score at discharge:5 points in 45 cases,4points in 7 cases,3 points in 6 cases,2 points in 5 cases. Follow-up DSA was conducted for 27 patients after discharge;3 cases demonstrated three recurrences of the aneurysms,including 1 case with a new aneurysm. Conclusion:The efficacy of endovascular treatment for multiple intracranial aneurysms at stage I is relatively good. Dense embolization and reducing the complications during the perioperative period are the key factors of better outcome.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2016年第5期485-488,共4页
Journal of Chongqing Medical University
基金
国家自然科学基金青年基金资助项目(编号:81100865)
国家临床重点专科建设经费资助项目(编号:[2011]170号)
关键词
颅内动脉瘤
栓塞
治疗
intracranial aneurysms
embolization
therapeutic