[1]廖旭兴  蔡 瑜 王 辉 梁学军 段成斌 胡建军 邓其峻 马廉亭.小脑后下动脉动脉瘤的血管内治疗与手术治疗(附21例报道)[J].中国临床神经外科杂志,2015,(06):329-331.[doi:10.13798/j.issn.1009-153X.2015.06.003]
 LIAO Xu-xing,CAI Yu,WANG Hui,et al.Endovascular embolization and microsurgery of posterior inferior cerebellar artery aneurysms (report of 21 cases)[J].,2015,(06):329-331.[doi:10.13798/j.issn.1009-153X.2015.06.003]
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小脑后下动脉动脉瘤的血管内治疗与手术治疗(附21例报道)()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年06期
页码:
329-331
栏目:
论著
出版日期:
2015-06-30

文章信息/Info

Title:
Endovascular embolization and microsurgery of posterior inferior cerebellar artery aneurysms (report of 21 cases)
文章编号:
1009-153X(2015)06-0329-03
作者:
廖旭兴  蔡 瑜 王 辉 梁学军 段成斌 胡建军 邓其峻 马廉亭
430070 武汉,广州军区武汉总医院神经外科[廖旭兴(现在佛山市第一人民医院工作)、马廉亭];528000 广东,佛山市第一人民医院神经外科(蔡 瑜、王 辉、 梁学军、 段成斌、邓其峻 );528000 广东,佛山市第六人民医院神经外科(胡建军)
通讯作者:马廉亭,E-mail:mlt1937@163.com
Author(s):
LIAO Xu-xing12 CAI Yu2 WANG Hui2 LIANG Xue-jun2 DUAN Cheng-bin2 HU Jian-jun3 DENG Qi-jun2 MA Lian-ting1.
1. Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, PLA, Wuhan 430070, China; 2. Department of Neurosurgery, The First people’s Hospital of Foshan City, Foshan 528000, China; 3. Department of Neurosurgery, The Sixth people’s Hospital of Foshan City, Foshan 528000, China
关键词:
小脑后下动脉动脉瘤血管内治疗手术
Keywords:
Posterior inferior cerebellar artery Aneurysm Endovascular embolization Surgery Curative effect
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2015.06.003
文献标志码:
A
摘要:
目的 探讨小脑后下动脉(PICA)动脉瘤的血管内治疗与手术治疗效果。方法 回顾性分析21例PICA动脉瘤患者的临床资料,其中近侧段11例行单纯弹簧圈栓塞1例,支架辅助弹簧圈栓塞7例,开颅夹闭术1例,行枕动脉-PICA血管吻合术1例,保守治疗1例;过渡段5例,行单纯弹簧圈栓塞2例,开颅夹闭术2例,开颅动脉瘤包裹术1例;远侧段5例,行弹簧圈闭塞载瘤动脉1例,NBCA闭塞载瘤动脉1例,Gluba胶闭塞载瘤动脉1例,开颅切除动脉瘤2例。结果 术后1周内死亡5例,其余病例随访6~36个月,其中近侧段行单纯弹簧圈栓塞的1例复发,再次行支架辅助弹簧圈栓塞,再随访24个月未见复发;远侧段开颅切除动脉瘤的1例术后出现共济失调,近侧段保守治疗的1例未见动脉瘤增大,其余13例未见复发及明显并发症。结论 确保PICA延髓支通畅是治疗PICA动脉瘤的首要前提,PICA动脉瘤的形态、位置、PICA是否为优势血管是动脉瘤治疗方法选择的主要依据,而血管内治疗与手术相辅相成是治疗PICA动脉瘤的有效途径。
Abstract:
Objective To explore the Methods to treat posterior inferior cerebellar artery (PICA) aneurysms and their effects. Methods The clinical data of 21 patients with PICA aneurysms, of whom, 7 were treated by surgery, 13 by the endovascular embolization and 1 by conservative treatment from January, 2008 to December, 2013, were analyzed retrospectively. Results Five patients receiving the endovascular treatment died within 7 days after the embolization. Sixteen patients were followed up from 6 to 36 months. One patient receiving coils embolization was treated by stent-assisted coils embolization because the aneurysm recurred 1 year after the coils embolization. One patient undergoing the surgery still had ataxia during the following up. The aneurysm was unchanged 2 years after the conservative treatment in 1 patient. There were no recurrence of the aneurysms and complications in the other 13 patients during the following up. Conclusions The patency of the medullar branch of PICA is a prerequisite for treatment of PICA aneurysms. The method to treat PICA aneurysms should be selected according to the aneurysms and whether PICA is a superior blood vessel or not. The effects of the endovascular embolization and surgery on PICA aneurysms are good if the method to treat them is proper for PICA aneurysms.

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备注/Memo

备注/Memo:
基金项目:广东省佛山市医学科技攻关项目(20111021000641;201208047;201308089);广东省佛山市卫生局科研立项课题(2011042)
更新日期/Last Update: 2015-06-30