摘要
目的探讨球囊闭塞试验联合血管内栓塞治疗小脑后下动脉(PICA)夹层动脉瘤的效果。方法 2013年12月-2018年12月共收治10例单纯PICA夹层动脉瘤,均行球囊闭塞试验联合血管内栓塞治疗。结果 10例患者手术效果均较满意,均随访1年,复查造影夹层动脉瘤均无复发,8例恢复良好,1例遗留头晕,1例遗留右侧肢体共济失调。结论球囊闭塞试验联合血管内栓塞治疗PICA夹层动脉瘤的效果及预后良好,但需根据PICA夹层动脉瘤的具体情况,选择不同的血管内治疗方法。
Objective To investigate the effect of balloon occlusion test combined with endovascular embolization on dissecting aneurysms of posterior inferior cerebellar artery.Methods From December 2013 to December 2018,10 cases of Simple PICA dissecting aneurysms were treated with balloon occlusion test combined with endovascular embolization.Results All of the 10 patients had satisfactory surgical results,all of them were followed up for one year.No recurrence of dissecting aneurysm was found,8 cases recovered well,and one case remained dizziness,there was right limb ataxia in one case.Conclusion Balloon occlusion test combined with endovascular embolization in the treatment of dissecting aneurysms of posterior inferior cerebellar artery had good effect and prognosis,but different endovascular treatment methods should be selected according to the specific conditions of PICA dissecting aneurysms.
作者
薛萌
陈丽薇
刘世福
张星
兀瑞俭
Xue Meng;Chen Liwei;Liu Shifu(Department of Neurology,Huanghe Sanmenxia Hospital,Sanmenxia 472000)
出处
《卒中与神经疾病》
2019年第5期548-552,共5页
Stroke and Nervous Diseases
关键词
小脑后下动脉
夹层动脉瘤
球囊闭塞试验
血管内治疗
Posterior inferior cerebellar artery
Dissecting aneurysm
Balloon occlusion test
Endovascular treatment