摘要
目的探讨球囊辅助技术在颅内宽颈动脉瘤栓塞治疗的应用体会。方法采用球囊辅助技术对39例患者45个颅内宽颈动脉瘤进行栓塞治疗,观察其安全性、有效性及并发症情况。结果所有动脉瘤中完全致密填塞者37个(82.2%),95%填塞者5个(11.1%),90%填塞者3个(6.7%)。治疗过程中发生了动脉瘤破裂、血管痉挛、脑梗死和弹簧圈脱出等并发症,经相应处理后,2例脑梗死患者出现一侧肢体偏瘫,其余患者转归可,无植物生存状态及死亡病例。结论球囊辅助技术是处理颅内宽颈动脉瘤安全、有效的方法。
[Objective] To investigate the experience in wide-necked intracranial aneurysms embolization with the balloon-assisted technique. [Method] Balloon-assisted technique was applied in 39 patients with 45 intracranial wide-necked aneurysm for the treatment of embolization regarding the safety, effectiveness and complications. [Result] In all aneurysms, 37 （82.2%）were completely dense packing, 5（11.1%） were 95% of the Idling and 3（6.7%） were 90% of the filling. Some complications such as aneurysm rupture, vasospasm, cerebral infarction and coil prolapse occurred in the course of treatment, and after the corresponding treatment, 2 eases with cerebral infarction occurred limb paralysis in one side, the remaining patients had a good turnover without vegetative state and death cases occurring. [Conclusion] Balloon-assisted technique is one safe and effective method to deal with wide-necked intracranial aneurysms.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2010年第13期2038-2040,共3页
China Journal of Modern Medicine
关键词
球囊
脑动脉瘤
疗效
并发症
balloon
aneurysm
effieaey
complications
