朱青峰;郭铁柱;王国芳;

• 1:解放军第264医院神经外科
• 2:长治医学院附属和济医院神经外科

摘要(Abstract)：

目的探讨颅内微小破裂动脉瘤血管内治疗的技术要点、安全性及临床效果。方法 2006-01—2016-06 78例颅内微小破裂动脉瘤进行了血管内介入治疗,其中支架辅助27例,单纯弹簧圈栓塞51例,对其相关临床资料进行回顾分析。结果术中3例发生动脉瘤破裂,1例术后发生弹簧圈逃逸,未出现载瘤动脉血栓栓塞事件。术后即刻造影显示,致密栓塞70例(89.74%),非致密填塞8例(10.26%);按照GOS评分评估,恢复良好59例(75.64%),轻度残废15例(19.23%),重度残废3例(3.8%),死亡1例(1.28%)。65例患者获得6²4个月随访,62例动脉瘤完全闭塞,1例有瘤颈残留但动脉瘤无变化,1例复发再次介入治疗。结论对颅内破裂微小动脉瘤,通过采取相应的介入操作技巧,选择血管内治疗是安全的,临床效果较好。

关键词(KeyWords)： 微小动脉瘤;破裂;介入治疗;安全性;临床效果

Abstract:

Keywords:

基金项目(Foundation): 山西重点研发计划项目(社会发展方面);编号:2016030321061

作者(Authors): 朱青峰;郭铁柱;王国芳;

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