【作者】 李奋保； 杨瑞民； 刘爱光；

【Author】 LI Fen-bao YANG Rui-min ZHANG Xin-zhong Apartment of Imaging and Interventional Center,The First Affiliated Hospital of Yinxiang Medical College,Weihui 453100,China.

【机构】 河南省卫辉市新乡医学院第一附属医院；

【摘要】 目的探讨应用电解可脱卸弹簧圈(GDC)栓塞治疗颅内动脉瘤的临床效果。方法我们采用电解可脱弹簧圈(GDC)栓塞颅内动脉瘤126例(其中4例有2个动脉瘤,共130个)。前交通动脉瘤42个,后交通动脉瘤53个,颈内动脉瘤6个,大脑中动脉瘤10个,大脑后动脉瘤8个,大脑前动脉瘤6个,小脑后下动脉瘤2个；基底动脉瘤3个。按 Hunt-Hess 分级：Ⅰ级38例,Ⅱ级54例, Ⅲ级23例,Ⅳ级11例。必要时辅以篮筐技术、重塑技术、支架技术、双微导管或连环技术、蚕食技术。结果成功栓塞126例动脉瘤,其中103例为100%栓塞,21例为95%,2例为90%。12例在栓塞后 6-18个月进行造影随访,所栓塞动脉瘤均未见复发征象。结论 GDC 栓塞颅内动脉瘤是安全、有效和微创的治疗手段。联合运用多种栓塞技术有助于减少术后并发症,提高治愈率。更多还原

【Abstract】 Objective To evaluate the effect of the endovascular embolization with Guglielmi detachable coils (GDC)in 126 patients with cerebral aneurysm.Methods One hundred and twenty-six cases(130 aneurysms)of intracranial aneurysm,which were embolized with GDC(guglielmi detachable coil),combined basket technique,remodeling technique(RT),stent technique,double micro-catheter technique or hand in hand technique and piecemeal technique if necessary,4 cases were found to have 2 aneurysms.The locations of aneurysms were as following:42 cases in anterior communicating artery,53 cases in posterior communicating artery,6 cases in internal carotid artery,10 cases in middle cerebral artery,8 cases in posterior cerebral artery,6 cases in anterior cerebral artery,2 cases in posterior inferior cerebellar artery,3 cases in basilar artery .HESS-HUNT grade was as following:38 cases of grade Ⅰ,54 cases of grade Ⅱ,23 cases of grade Ⅲ,11 case of grade Ⅳ.Result 100% occlusion was achieved in 103 cases,95% in 21 and 90% in 2. Follow up from 6 months to 18 months after operation among 12 cases.All effects were well.Conclusion Endovascular embolization with GDC for the treatment of cerebral aneurysm is a safe,effective and micro- traumatic means.Several techniques combined Will decrease the complications and improve future outcomes.更多还原