【摘要】 目的探讨与对比血管内栓塞与开颅动脉瘤夹闭两种手术方式治疗颅内微小动脉瘤疗效。方法回顾性分析23例共26个颅内微小动脉瘤患者的临床资料,分为颅内动脉瘤介入栓塞13例(15个动脉瘤)和开颅动脉瘤夹闭10例(11个动脉瘤)两组,对两组术中动脉瘤破裂风险、术后动脉瘤闭塞程度及格拉斯哥预后(GOS)评分进行比较。结果两组术中动脉瘤均出现1例破裂,术后动脉瘤闭塞程度及GOS评分均尚可,随访期间均无复发。结论对于颅内破裂微小动脉瘤,血管内介入栓塞术与动脉瘤夹闭术均可取得良好效果,对于未破裂微小动脉瘤,应加强随访观察,必要时行手术治疗。更多还原

【Abstract】 Objective Two different surgical treatments for intracranial microaneurysm, including interventional embolization and clipping were compared. Methods Clinical data of 23 patients with 26 intracranial microaneurysms were analyzed retrospectively,in which 13 patients(15 microaneurysms) were treated with interventional embolization and 10 patients(11 microaneurysms) were performed by clipping. The risk of aneurysm rupture,post-operative extent of aneurysm occlusion and the GOS prognosis were compared. Results One case of aneurysm rupture occurred in both groups. No recurrence occurred in the follow-up period. Conclusion For intracranial ruptured microuneurysm,both endovascular embolization and aneurysm clipping can achieve satisfactory results. However,we must strengthen the follow-up observation for unruptured microaneurysms,if necessary,surgical treatment is also a good choice.更多还原