【摘要】 目的　探讨颅内破裂动脉瘤早期GDC栓塞治疗的效果。方法　 10例颅内破裂动脉瘤 ,其中首次破裂 8例 ,2次破裂 2例 ,动脉瘤的位置 :大脑前动脉 1例 ,大脑中动脉 1例 ,前交通动脉 5例 ,后交通动脉 2例 ,前交通及后交通动脉多发 1例。病人分级 :Hunt-HessⅠ级 2例 ,Ⅱ级 4例 ,Ⅲ级 2例 ,Ⅳ级 1例 ,Ⅴ级 1例 ,FisherCT分级Ⅰ级 2例 ,Ⅱ级 6例 ,Ⅲ级 2例。采用GDC早期栓塞治疗 ,7例于 3天内治疗 ,3例于 6天内治疗。结果　 10例 11个动脉瘤 ,10 0 %栓塞 8个 ,95 %栓塞 2个 ,90 %栓塞 1个 ,1例死亡 ,术后观察 1个月～ 2年 ,7例效果良好 ,1例植物状态生存 ,1例再次发生蛛网膜下腔出血。结论　GDC早期栓塞是治疗颅内破裂动脉瘤的较好方法。更多还原

【Abstract】 Objective To explore the effects of embolizing intracranial ruptured aneurysm in early stage using Guglielmi Detachable Coil (GDC). Methods 10 intracranial ruptured aneurysms including 8 cases of the first ruptured and 2 cases of the second ruptured were studied. The locations of aneurysm were as following: 1 case in anterior cerebral artery, 1 case in middle cerebral artery, 5 cases in anterior communicating artery, 2 cases in posterior communicating artery, and 1 case of multianeurysm in anterior and posterior communicating artery. Hunt-Hess grade was as following: 2 cases of gradeⅠ,4 cases of gradeⅡ, 2 cases of gradeⅢ, 1 case of grade Ⅳ, and 1 case of grade Ⅴ. Fisher CT scale was as following: 2 cases of gradeⅠ, 6 cases of gradeⅡ,and 2 cases of grade Ⅲ. Embolization of intracranial ruptured aneurysm was performed in early stage using GDC, 7 cases in 3 days after ruptured, and 3 cases in 6 days after ruptured. Results Among 11 aneurysms in 10 cases, 8 cases were 100% embolization, 2 cases≥95%, and 1 case≥90%. Followed-up from 1 month to 2 years after operation 1 case was dead, 7 cases recovered well, 1 case was in vegetable state, and 1 case occurred subarachnoid hemorrhage again. Conclusions GDC early embolization is preferable technique for treating intracranial ruptured aneurysm.更多还原