摘要
目的探讨颅内动脉瘤复发的临床因素。方法70例颅内动脉瘤患者，男37例，女33例，年龄37～63岁，平均47岁。70例，共74个动脉瘤。分析栓塞前后几何形状、栓塞方法、栓塞材料和复发前后的数字减影脑血管造影（DSA）图像，并对37例栓塞术后患者在3个月到1年内行全脑血管造影复查。结果栓塞术后通过DSA复查70例颅内动脉瘤患者，共74个动脉瘤。其中8例，共9个动脉瘤复发。动脉瘤位于后交通动脉起始处5个，前交通动脉2个，右侧大脑中动脉一级分叉处2个；宽颈动脉瘤4个，形态不规则动脉瘤5个；致密栓塞3个，不致密栓塞6个。结论宽颈、瘤体大、形态不规则和不致密栓塞的动脉瘤容易复发。
Objective To evaluate the factors of recurrence of intracranial aneurysm after endovascular embolization. Methods Seventy patients with 74 intracranial aneurysms, 37 males and 33 females, aged 47 （37 - 63 ） , underwent endovascular embolization. Cerebral angiography was conducted 3 months to 1 year after the endovascular embolization on 37 patients. The geometric forms of aneurysm, method and material of endovascular embolization, and digital subtraction angiography （DSA） images before and after the recurrence were analyzed, geometry form, method and material of endovascular embolization and image. Results Nine recurrent aneurysms were discovered in 8 patients of which 5 were located in the posterior communicating artery; 2 in the anterior communicating artery;and 2 in the first crotch of the right middle cerebral artery. Four of the recurrent aneurysms were wide-necked aneurysms ; and 5 were of irregular forms. Before recurrence, complete aneurysm occlusion was achieved in 3 aneurysms and incomplete occlusion was achieved in 6. Conclusion The percentage of complete aneurysm occlusion is related to the location, size, geometric form, method and material of endovascular embolization and density of coil packing. Intracranial aneurysms located in crotch of artery, with wide-neck, large, with irregular forms, and embolized incompletely are liable to recur.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2008年第19期1303-1305,共3页
National Medical Journal of China
基金
山东省自然科学基金资助课题（Y2006CA5）
关键词
颅内动脉瘤
栓塞
治疗性
复发
Intracranial aneurysm
Embolization,therapeutic
Recurrence
