本文關(guān)鍵詞：顱內(nèi)巨大動(dòng)脈瘤誘導(dǎo)式栓塞治療的臨床研究　出處：《中國(guó)當(dāng)代醫(yī)藥》2016年35期 　論文類型：期刊論文

  更多相關(guān)文章： 血管內(nèi)治療 巨大動(dòng)脈瘤 誘導(dǎo)式栓塞 載瘤動(dòng)脈栓塞

【摘要】：目的評(píng)價(jià)誘導(dǎo)式栓塞治療對(duì)顱內(nèi)巨大動(dòng)脈瘤(GIA)的臨床意義。方法收集2011年1月~2013年7月我院因GIA行介入治療的20例(20枚)患者,具備完整的臨床資料,其中行彈簧圈誘導(dǎo)式栓塞術(shù)治療10例,載瘤動(dòng)脈閉塞術(shù)治療10例,隨訪6~24個(gè)月,評(píng)價(jià)術(shù)后即刻造影結(jié)果及隨訪造影結(jié)果。結(jié)果行彈簧圈誘導(dǎo)式栓塞術(shù)的患者術(shù)后造影:完全閉塞8例(80%),大部分閉塞2例(20%)。行動(dòng)脈閉塞術(shù)的患者術(shù)后造影:完全閉塞6例(60%),大部分閉塞2例(20%),部分閉塞2例(20%)。末次隨訪造影:行彈簧圈誘導(dǎo)式栓塞術(shù)的患者均為完全閉塞;行動(dòng)脈閉塞術(shù)的患者,7例為完全閉塞,1例為大部分閉塞,2例再開放經(jīng)覆膜支架治療后轉(zhuǎn)為完全閉塞。結(jié)論彈簧圈誘導(dǎo)式栓塞術(shù)后即刻造影結(jié)果及隨訪造影結(jié)果均優(yōu)于載瘤動(dòng)脈栓塞術(shù)。
[Abstract]:Objective to evaluate the clinical significance of inducible embolization in the treatment of giant intracranial aneurysms. Methods from January 2011 to July 2013, 20 patients with GIA underwent interventional therapy in our hospital. Patient. There were 10 cases treated with coiling coil induction embolization and 10 cases with aneurysm occlusion. The follow-up was 6 ~ 24 months. Results Inductive coils embolization was performed in 8 patients with complete occlusion. Two patients with most occlusions underwent arterial occlusion, 6 patients with total occlusion and 2 patients with most occlusions. Partial occlusion was found in 2 cases. All the patients underwent coils induced embolization were completely occluded. Total occlusion was found in 7 patients with arterial occlusion, and one patient was mostly occluded. Conclusion the results of immediate angiography and follow up after coils induced embolization are superior to that of embolization of aneurysm carrier artery.
【作者單位】： 江西省贛州市人民醫(yī)院神經(jīng)外科;
【基金】：江西省贛州市指導(dǎo)性科技計(jì)劃項(xiàng)目(GZ2011ZSF211)
【分類號(hào)】：R743
【正文快照】： 顱內(nèi)巨大動(dòng)脈瘤(giant intracranial aneurysm,GIA)是指最大直徑25 mm的動(dòng)脈瘤,發(fā)生率較高,占顱內(nèi)動(dòng)脈瘤的5%左右,可分為梭形、囊狀及夾層3種,多發(fā)于50~70歲,位于前循環(huán)的約占66.7%(頸內(nèi)動(dòng)脈海綿竇段、眼動(dòng)脈),位于后循環(huán)的約占33.3%(基底動(dòng)脈分叉處、大腦后動(dòng)脈)[1]。通常表

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