[1]李正伟、徐成仕、陈新军、李志强、江普查、陈劲草.夹闭术治疗栓塞后复发的颅内动脉瘤的疗效分析[J].中国临床神经外科杂志,2017,(08):542-544,554.[doi:10.13798/j.issn.1009-153X.2017.08.006]
 LI Zheng-wei,XU Cheng-shi,CHEN Xin-jun,et al.Microsurgical management of recurrent intracranial aneurysms after embolization[J].,2017,(08):542-544,554.[doi:10.13798/j.issn.1009-153X.2017.08.006]
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夹闭术治疗栓塞后复发的颅内动脉瘤的疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年08期
页码:
542-544,554
栏目:
论著
出版日期:
2017-08-25

文章信息/Info

Title:
Microsurgical management of recurrent intracranial aneurysms after embolization
文章编号:
1009-153X(2017)08-0542-03
作者:
李正伟、徐成仕、陈新军、李志强、江普查、陈劲草
430016 武汉,武汉大学中南医院神经外科(李正伟、徐成仕、陈新军、李志强、江普查、陈劲草)
Author(s):
LI Zheng-wei XU Cheng-shi CHEN Xin-jun LI Zhi-qiang JIANG Pu-cha CHENG Jin-cao.
Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China
关键词:
颅内动脉瘤血管内栓塞复发显微手术
Keywords:
Intracranial aneurysms Embolization Recurrence Microsurgery
分类号:
R 743.9; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2017.08.006
文献标志码:
A
摘要:
目的 探讨栓塞后复发的颅内动脉瘤的手术治疗方法及其疗效。方法 回顾性分析夹闭术治疗的10例栓塞后复发的颅内动脉瘤的临床资料,其中后交通动脉动脉瘤4个,前交通动脉动脉瘤3个,大脑中动脉动脉瘤2,基底动脉顶端动脉瘤1个。结果 10例动脉瘤夹闭完全,其中5个动脉瘤内弹簧圈术中全部或部分去除,5个动脉瘤内弹簧圈予以保留。术后CTA或DSA显示动脉瘤夹闭完全,载瘤动脉通畅。10例出院时GOS评分5分8例,4分1例,3分1例。术后平均随访 20个月,GOS评分5分9例,4分1例(术后发生脑血管痉挛造成脑梗死);随访期间无动脉瘤复发。结论 栓塞后复发的颅内动脉瘤具有较高的手术难度,夹闭术仍然是一种安全有效的治疗方法。
Abstract:
Objective To explore the principles and techniques of microsurgical treatment of recurrent intracranial aneurysms after the endovascular embolization. Methods The clinical data of 10 patients with recurrent intracranial aneurysms after the endovascular embolization, of whom, 4 had posterior communicating artery aneurysms, 3 anterior communicating artery aneurysms, 2 middle cerebral artery aneurysms and 1 basilar artery tip aneurysm, were analyzed retrospectively, including the treatment methods, clinical curative effects and so on. All the patients underwent microsurgical clipping of the aneurysms. Results All the aneurysms were completely occluded in 10 patients. The coils used for the embolization were reserved in 5 patients and not in the other 5. The following-up for 20 months showed that of 10 patients, 9 recovered well and 1 not according to GOS. CTA or DSA showed that all the aneurysms were completely occluded and the aneurysms did not recurred in all the patients. Conclusions The microsurgery for the recurrent intracranial aneurysms after the embolization is difficult, but it is a safe and effective method to treat them.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81501063;81571146);武汉市卫计委医学科研项目(WX16C41) 作者单位:430016 武汉,武汉大学中南医院神经外科(李正伟、徐成仕、陈新军、李志强、江普查、陈劲草) 通讯作者:陈劲草,E-mail:chenjincao@hotmail.com
更新日期/Last Update: 1900-01-01