本文關(guān)鍵詞： 頸內(nèi)動(dòng)脈 血泡樣動(dòng)脈瘤 支架 栓塞 臨床分析　出處：《吉林大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:分析病例的臨床特點(diǎn)、影像學(xué)特點(diǎn)、治療過程以及術(shù)后隨訪結(jié)果,評(píng)估支架輔助彈簧圈栓塞術(shù)治療頸內(nèi)動(dòng)脈血泡樣動(dòng)脈瘤的療效,總結(jié)相關(guān)診治經(jīng)驗(yàn)。方法:回顧性分析10例采用支架輔助彈簧圈栓塞術(shù)治療的頸內(nèi)動(dòng)脈床突上段血泡樣動(dòng)脈瘤的臨床特點(diǎn)、影像學(xué)特點(diǎn)、治療方式及隨訪結(jié)果。本組病例中,男性3例,女性7例,年齡在26~66歲,平均年齡為45.2歲;術(shù)前Hunt-Hess分級(jí):Ⅲ級(jí)4例,Ⅱ級(jí)4例,Ⅳ級(jí)2例。Fisher分級(jí):Ⅱ級(jí)5例,Ⅲ級(jí)4例,Ⅳ級(jí)1例。入組病例術(shù)前均行DSA檢查,確定動(dòng)脈瘤是出血責(zé)任動(dòng)脈瘤,合理設(shè)計(jì)手術(shù)方案,完善術(shù)前準(zhǔn)備,行支架輔助彈簧圈栓塞治療。術(shù)后常規(guī)行影像學(xué)復(fù)查并隨訪。結(jié)果:本組10例患者均行支架輔助彈簧圈栓塞術(shù),1例動(dòng)脈瘤術(shù)中破裂出血,但手術(shù)成功栓塞動(dòng)脈瘤;其余9例行支架輔助彈簧圈栓塞術(shù),手術(shù)順利�；颊叱鲈簳r(shí)改良Rankin量表(Modified Rankin Scale,m RS)評(píng)分為6例1分,2例2分,1例3分,1例4分。3例未行DSA復(fù)查,7例復(fù)查病例中5例無動(dòng)脈瘤復(fù)發(fā),2例復(fù)發(fā)。所有患者隨訪均無再次出血發(fā)生。隨訪2~27個(gè)月,平均15.7個(gè)月,電話隨訪提示患者改良Rankin評(píng)分為7例0分,2例1分,1例3分。結(jié)論:1、支架輔助動(dòng)脈瘤栓塞術(shù)能有效治療頸內(nèi)動(dòng)脈血泡樣動(dòng)脈瘤,降低再出血風(fēng)險(xiǎn),具有較高的安全性,是治療BBA的主流趨勢(shì);2、支架輔助動(dòng)脈瘤栓塞術(shù)具有一定的復(fù)發(fā)率,尤其見于首次栓塞不完全患者;3、術(shù)后定期復(fù)查DSA很有必要,可以發(fā)現(xiàn)動(dòng)脈瘤是否有復(fù)發(fā)趨勢(shì),給予早期干預(yù)。
[Abstract]:Objective: to analyze the clinical features, imaging features, treatment process and postoperative follow-up results of the patients, and to evaluate the efficacy of stent assisted coils embolization in the treatment of internal carotid artery blister-like aneurysms. Methods: the clinical and imaging features of 10 patients with upper part of internal carotid artery bulloid aneurysm treated by stent assisted coils embolization were analyzed retrospectively. Treatment methods and follow-up results. In this group, 3 cases were male and 7 cases were female, the age was 2666 years old, the average age was 45.2 years old; Preoperative Hunt-Hess grading: grade 鈪，

本文編號(hào)：1469494