【摘要】 目的:探讨血管内介入治疗动脉瘤的临床应用价值。方法:回顾分析96例动脉瘤病人的临床资料,对血管内介入治疗动脉瘤的临床效果作出评价。结果:100个动脉瘤,86个行弹簧圈栓塞术,完全栓塞62个(69.8%),次全栓塞22个(25.6%),不完全栓塞2个(2.3%)。发生术中动脉瘤破裂3例(3.5%),脑血栓形成或脑梗死3例(3.5%),血管痉挛2例(2.3%)。术后动脉瘤复发2例,未见动脉瘤栓塞后再出血,脑积水5例,颅内感染1例。病人出院12mo后完全恢复正常生活、工作者65例(72.2%);有轻度到中度神经功能障碍10例(11.1%);有严重神经功能障碍及死亡者5例(5.6%)。结论:血管内介入治疗是一种安全有效的治疗动脉瘤的方法。更多还原

【Abstract】 Objective:To investigate the clinical value of endovascular interventional treatment for intracranial aneurysm.Methods:The clinical data of 96 cases with intracranial aneurysm was analyzed retrospectively and the treatment effect of endovascular interventional therapy in intracranial aneurysm was evaluated.Results:In 100 intracranial aneurysms,86 underwent the embolism with intravascular coil,we completely embolized 62 cases(69.8%),imperfectly embolized 22 cases(25.6%),and inadequately embolized 2 cases(2.3%).3 cases of aneurysms(3.5%)ruptured during the embolization,3 patients(3.5%) had cerebral infarction or thrombosis,2 cases(2.3%) occurred cerebral vasospasm.After operation,recanalization of aneurysm occurred in 2 cases,no one hemorrhaged again,5 cases had hydrocephalus,one occurred intracranial infection.90 cases(93.7%) were followed up 1~2 years.The modified rankin scale of patients with aneurysm was used to evaluate quality of life after leaving hospital 12 months,65 patients(72.2%) can work and live normally,10 cases(11.1%) have feeble and middle nerve functional disturbance,and 5 cases(5.6%) have severe nerve functional disturbance or died.Conclusion:Endovascular interventional treatment for patients with intracranial aneurysm is an effective and safty method.更多还原