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脑动脉瘤介入治疗中三维微弹簧圈的临床应用 被引量：1

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摘要 目的评价三维电解可脱式微弹簧圈(GDC)栓塞颅内动脉瘤的临床应用效果。方法79例患者的82个动脉瘤,动脉瘤大小3～22mm,瘤颈≤4mm57个,>4mm25个,采用三维GDC栓塞治疗,包括常规裸弹簧圈和Matrix弹簧圈,从栓塞后血管造影影像学、临床结局和磁共振造影随访评价疗效。结果82个动脉瘤完全栓塞65个(79.3%),次全栓塞17个(20.7%),无不全栓塞,其中25个瘤颈>4mm的动脉瘤完全栓塞17个(68%);术后并发症7例,随访6个月,严重致疾6人(7.6%),中度致残生活能自理10人(12.7%),恢复良好63人(79.7%)。结论较复杂的颅内宽颈动脉瘤栓塞治疗时,三维GDC做为首枚弹簧圈可达到良好的成篮效果,但栓塞治疗的远期临床和影像学疗效有待长期研究。
作者 石忠松 齐铁伟 郭少雷 黄正松
机构地区 中山大学附属第一医院神经外科
出处 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2005年第3期212-213,共2页 Chinese Journal of Nervous and Mental Diseases
基金 广东省科技计划项目资助(编号:C31201)
关键词 颅内动脉瘤 血管内栓塞治疗 三维电解可脱式微弹簧圈
分类号 R739.4 [医药卫生—肿瘤]
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参考文献6

二级参考文献14

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共引文献20

同被引文献10

  • 1宋锦宁,刘守勋,王茂德,谢昌厚,谢万福,张晓东,鲍刚,刘晓斌.自膨胀颅内支架联合电解可脱性弹簧圈血管内栓塞治疗宽颈脑动脉瘤[J].中国神经精神疾病杂志,2005,31(3):210-211. 被引量：8
  • 2吕明,吴中学,李佑祥,张静波.颅内动脉瘤血管内治疗分级[J].中华医学杂志,2005,85(42):2980-2984. 被引量：7
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  • 9Park HK,Horowitz M,Jungreis C,et al.Periprocedural morbidity and mortality associated with endovascular treatment of intracranial aneurysms.AJNR,2005,26(3):506.
  • 10黄清海,刘建民,许奕,洪波,赵文元,张珑,周晓平.血管内支架在颅内宽颈及梭形动脉瘤栓塞治疗中的应用[J].中国神经精神疾病杂志,2002,28(3):166-168. 被引量：9

引证文献1

二级引证文献26

中国神经精神疾病杂志
2005年 第3期

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