摘要
目的探讨微小前交通动脉瘤介入治疗方法与疗效。方法7例蛛网膜下腔出血患者,经DSA全脑血管造影证实为前交通动脉瘤,动脉瘤直径2mm以下4例,2～3mm3例。选用合适的微弹簧圈填塞瘤囊,其中1例采弹簧圈跨动脉瘤壁栓塞。结果5例成功填塞,2例弹簧圈未能牢固地存留于瘤囊内,栓塞失败。术后2个月采用改良Rankin量表评分:0分5例,2分1例,3分1例。其中3例患者分别于术后3～5个月行CTA或MRA,显示动脉瘤闭合良好。结论直径在3mm以下的前交通动脉瘤,栓塞治疗难度及风险大,合理选择弹簧圈型号,综合运用各种栓塞技术,可提高安全性及成功率。
Objective To discuss the method and effect of the tiny anterior communicating artery aneurysm with interventional therapy. Methods 7 cases were subarachnoid hemorrhage（SAH）, confirmed anterior communicating artery aneurysm by DSA angiography. Aneurysm diameter 〈2mm in 4 cases,2--3mm in 3 cases. Suitable micro-coil packing of aneurysms sac were selected. One case was applied micro-coil penetrate the sac wall. Results Five cases were successful, two cases failed. Two months after embolization, the modified Rankin scale： 0 in 5 cases,2 in one case,3 in one case. Conclusion Under 3ram anterior communicating artery aneurysm, interventional treatment was full of difficulty and risk. Using various embolization technique can improve the safety and success rate.
出处
《中国实用神经疾病杂志》
2008年第6期25-27,共3页
Chinese Journal of Practical Nervous Diseases
关键词
蛛网膜下腔出血
前交通动脉瘤
栓塞
Subarachnoid hemorrhage
Anterior communicating artery aneurysm
Embolization
