前交通动脉瘤介入治疗效果分析

Analysis of curative effect of interventional therapy for anterior communication aneurysm

目的探讨颅内前交通动脉瘤介入治疗方法和技术操作要点。方法选取新疆医科大学附属中医医院神经外一科自2013年7月至2018年8月收治的15例前交通动脉瘤患者,其中12例破裂动脉瘤,3例未破裂动脉瘤。按Hunt-Hess分级:0级3例,Ⅱ级8例,Ⅲ级3例,Ⅳ级1例。6例患者采用3D弹簧圈成篮编织技术治疗,9例患者采用血管内支架辅助技术治疗。结果动脉瘤腔致密栓塞15例,栓塞程度达90%以上者10例(66.7%),栓塞程度在70%~90%者5例(33.3%),无死亡病例。结论3D弹簧圈成篮编织技术与血管内支架辅助技术均可达到前交通动脉瘤治愈的目的。

Objective To summarize the interventional treatment of intracranial anterior communicating aneurysms.Methods Fifteen patients with anterior communicating artery aneurysms were selected from July 2013 to August 2018 in the First Department of Neurosurgery,Traditional Chinese Medicine Hospital of Xinjiang Medical University,including 12 ruptured aneurysms and 3 unruptured aneurysms.According to Hunt-Hess classification,there were 3 cases of grade 0,8 cases of gradeⅡ,3 cases of gradeⅢand 1 case of gradeⅣ.Six patients were treated with 3D spring coil net weaving technology,and 9 patients were treated with endovascular stent assisted technology.Results There were 15 cases of dense embolization in aneurysmal cavity,10 cases(66.7%)with more than 90%embolism degree,5 cases(33.3%)with 70%~90%embolism degree,and no death case.Conclusion Both 3D spring coil net weaving technology and endovascular stent assisted technology can achieve the goal of curing anterior communicating artery aneurysm.