摘要
目的 观察烟雾病（MMD）合并颅内动脉瘤患者行血管内栓塞治疗的效果。方法回顾性分析广州军区武汉总医院神经外科自2002年1月至2010年2月采用血管内栓塞治疗的8例MMD合并颅内动脉瘤患者的临床资料和疗效，其中6例主要动脉型动脉瘤行微弹簧圈栓塞治疗，2例外周动脉型动脉瘤采用NBCA胶栓塞动脉瘤及载瘤动脉。结果6例主要动脉型动脉瘤中完全栓塞3例，瘤颈残留2例，部分栓塞1例，载瘤动脉均保持通畅；2例采用NBCA胶栓塞的患者载瘤动脉及动脉瘤均未显影，未出现远端供血区域脑梗死．结论对MMD合并颅内动脉瘤患者行血管内栓塞治疗安全、有效。
Objective To observe the treatment effect of endovascular embolization on intracranial aneurysms combined with hemorrhagic moyamoya disease （MMD）. Methods The clinical features and outcomes of 8 patients with intracranial aneurysms combined with MMD, performed endovascular embolization in our hospital from January 2002 to February 2010, were retrospectively analyzed. The aneurysms in 6 patients with major artery aneurysm were successfully embolized with Guglielmi detachable coil, and the other 2 （the peripheral artery type） with n-butyl cyanoacrylate （NBCA）. Results In the 6 patients performed embolization with Guglielmi detachable coil, 3 got complete embolization, 2 vestigital of the aneurysm neck, 1 partial embolization and all the parent arteries were unobstructed. In the 2 patients performed embolization with NBCA, no imaging was noted on the parent arteries and aneurysms, and no cerebral infarction appeared in the distal blood supply region. Conclusion For MMD patients with aneurysms, we can treat the aneurysms with endovascular embolization safely and effectively.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2010年第10期981-983,共3页
Chinese Journal of Neuromedicine
基金
湖北省科技攻关计划资助项目（2007AA301B15-2）
关键词
颅内动脉瘤
烟雾病
栓塞
治疗性
Intracraial aneurysm
Moyamoya disease
Embolization, therapeutic
