[1]王峻,刘仁忠,徐亚青,等.球囊辅助弹簧圈栓塞治疗颅内宽颈动脉瘤28例临床分析[J].中国临床神经外科杂志,2017,(07):499-501.[doi:10.13798/j.issn.1009-153X.2017.07.019]
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球囊辅助弹簧圈栓塞治疗颅内宽颈动脉瘤28例临床分析()
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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07期
页码:
499-501
栏目:
论著
出版日期:
2017-07-20

文章信息/Info

文章编号:
1009-153X(2017)07-0499-03
作者:
王峻刘仁忠徐亚青简志宏余信远
430060 武汉,武汉大学人民医院神经外科
关键词:
颅内动脉瘤宽颈动脉瘤球囊栓塞疗效
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2017.07.019
文献标志码:
B
摘要:
目的 总结球囊辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的经验。方法 回顾性分析2012年1月至2015年12月应用球囊辅助弹簧圈栓塞治疗的28例(共35枚)颅内宽颈动脉瘤的临床资料。结果 28个动脉瘤获完全栓塞,5个次全栓塞(>95%),2个大部分栓塞(>90%)。2例出现术中动脉瘤破裂,其中l例恢复良好,无后遗症;另l例发生一过性肢体偏瘫。以蛛网膜下腔出血起病22例中,8例遗留轻度神经功能障碍,其中2例术后出现脑缺血的表现,1例术前Hunt-Hess分级Ⅳ级病人术后出现大面积脑梗死、昏迷而放弃治疗自动出院;其余恢复良好。术后随访6~18个月,平均9.6个月;16例复查DSA,均未见动脉瘤复发。结论 球囊辅助弹簧圈栓塞技术是一种安全可靠的治疗颅内宽颈动脉瘤的方法,严格选择适应证、适当的术中及术后抗凝、选择合适的球囊、精确定位栓塞导管的位置、术者技术熟练程度等是影响治疗效果的重要因素。

参考文献/References:

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更新日期/Last Update: 2017-07-25