摘要
目的探讨脑动脉瘤栓塞治疗中并发症的发生原因及其防治。方法应用电解铂金圈(EDPC)栓塞治疗脑动脉瘤108例(112个),对术中并发症发生的原因、预防和治疗措施等进行回顾性分析。结果108例中11例发生并发症(10.2%)。其中,动脉瘤破裂出血3例,2例经继续栓塞止血。铂金圈疝入载瘤动脉3例(均为后交通宽颈动脉瘤,导致同侧颈内动脉闭塞,1例因侧枝循环良好而无临床症状,1例左侧偏瘫,另1例右侧偏瘫伴失语)。铂金圈解旋、留置体内1例,长期抗凝无任何临床症状。栓塞事件3例,经处理术后未遗留神经功能障碍。故并发症导致永久性神经功能障碍者2例(2%),一过性神经功能障碍4例(4%)。无死亡病例。结论术中发生并发症与操作、动脉瘤结构和血管条件等有关,术前研究动脉瘤和载瘤动脉的形态结构、正确处理术中意外和提高栓塞技术是减少并发症的关键。
Objective To investigate the causes and countermeasures of the complications after cerebral aneurysm embolization therapy. Methads One hundred and eight patients （112 aneurysms） with cerebral aneurysm were treated with electro-detachable platinum coils （EDPC）. The causes and prophylaxes of the complications were retrospectively analyzed. Results Of 108 patients, 11 （ 10.2% ） complications took place, which were 3 aneurysm ruptures, 3 thrombo-embolic events, 3 coils hernia to the parent artery, 1 coil-fleeing and 1 decoiling of EDPC. The accidents resulted in 2 （2%） permanent neuroiogical deficits （ 1 right hemiplegia and 1 left hemiplegia with dysphasia）, and 4 transitory neurological deficits. There was no death case in this group. Conclusion The complications after cerebral aneurysm embolization therapy are related to embolizing techniques, aneurismal morphology and its anatomic relationship to the parent arteries may be reduced by better understanding and improving the procedures.
出处
《江苏医药》
CAS
CSCD
北大核心
2008年第10期1010-1012,共3页
Jiangsu Medical Journal
基金
江苏省卫生厅科技项目(H20012)
关键词
脑动脉瘤
治疗性栓塞
并发症
Cerebral aneurysm
Therapeutic embolization
Complications
