摘要
目的 比较电解式可脱弹簧圈 (GDC)和机械式可脱弹簧圈 (MDS)栓塞治疗颅内动脉瘤的效果 .方法 1996 0 5 /2 0 0 0 10 ,采用MDS栓塞治疗颅内动脉瘤 2 8例 2 9个动脉瘤 ;采用GDC栓塞治疗颅内动脉瘤 41例 43个动脉瘤 .对两种栓塞材料的特点和治疗效果进行分析 .结果 采用MDS栓塞治疗 2 9个动脉瘤 ,完全栓塞 2 3个 ,次全栓塞 3个及不全栓塞3个 .1例栓塞术中血栓形成 ,遗留 1例肢体偏瘫 .采用GDC栓塞治疗 43个动脉瘤 ,完全栓塞 35个 ,次全栓塞 4个及不全栓塞 4个 .术中血栓形成 2例 ,经尿激酶溶栓和抗凝治疗 ,1例恢复另 1例遗留轻瘫 .微导丝刺破动脉瘤壁 1例 ,致密填塞弹簧圈后治愈 .两组患者均无死亡 .结论 GDC和MDS均为栓塞治疗颅内动脉瘤理想材料 .MDS价格低廉 。
AIM To compare the effect of endovascular treatment for intracranial aneurysms with Guglielmi detachable coils (GDC) and mechanical delachable spirals (MDS). METHODS From May 1996 to October 2000, 28 patients with 29 intracra nial aneurysms were treated with MDS, and 41 patients with 43 intracranial aneurysm were treated with GDC in our department. Features and effects were analysed between two differet embolic materials for treating intracranial aneurysms. RESULTS Of 29 aneurysms who underwent MDS embolization, a complete occlusion was achieved in 23 aneurysms, sabtotal occlusion in 3, and incomplete occlusion in 3. One patient who suffered thrombosis during the procedure presented with light hemiparalysis. Of 43 aneurysms who underwent GDS embolization, a complete occlusion was achieved in 35 aneurysms, subtotal occlusion in 4, and incomplete occlusion in 4. Of 2 patients who suffered thrombosis during the procedure, 1 recovered and 1 presented with light hemiparalysis after urokinase perfusion and anticoagulation. One was cured, who experienced aneurysmal wall perforation due to microguidewire, after densely packing coils. No death occurred in two groups. CONCLUSION GDC and MDS are both ideal embolic materials for treating intraeranial anenrysms. It seems that GDC is safer than MDS, but MDS is much cheaper.
出处
《第四军医大学学报》
北大核心
2001年第15期1423-1426,共4页
Journal of the Fourth Military Medical University
关键词
电解式可脱弹簧圈
机械式可脱弹簧圈
颅内动脉瘤
血管内栓塞治疗
Guglielmi detachable coils
mechanical detachable spirals
intracranial aneurysm
endovascnlar embolization
