[1]王鹏,刘学武,高五州.颅内破裂动脉瘤分期介入治疗体会[J].中国临床神经外科杂志,2022,27(12):1016-1018.[doi:10.13798/j.issn.1009-153X.2022.12.020]
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颅内破裂动脉瘤分期介入治疗体会()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年12期
页码:
1016-1018
栏目:
经验介绍
出版日期:
2022-12-31

文章信息/Info

文章编号:
1009-153X(2022)12-1016-03
作者:
王鹏刘学武高五州
730900甘肃白银,甘肃中医药大学第三附属医院(白银市第一人民医院)神经外科(王鹏、刘学武、高五州)
关键词:
颅内破裂动脉瘤血管内介入治疗分期手术疗效
分类号:
R743.9; R815.2
DOI:
10.13798/j.issn.1009-153X.2022.12.020
文献标志码:
B
摘要:
目的 探讨颅内破裂动脉瘤分期介入治疗的疗效。方法 回顾性分析2017年1月至2020年6月分期介入治疗的23例颅内破裂动脉瘤的临床资料。急性期单纯弹簧圈栓塞治疗防止再出血,2~8周二期支架置入术治疗。结果 急性期单纯弹簧圈栓塞造影显示,Raymond分级Ⅰ级7例,Ⅱ级13例,Ⅲ级3例。急性期弹簧圈栓塞和二期支架置入术间隔15~49 d,平均(23.9±9.9)d。分期手术间隔期未观察到再出血。二期支架置入术中,共成功置入支架24枚,术后即刻造影显示,Raymond分级Ⅰ级12例,Ⅱ级11例。1例大脑中动脉动脉瘤支架置入术后出现支架内血栓形成,立即注入替罗非班后恢复。1例发生腹股沟血肿,手动按压后消失。无颅内出血。出院时,改良Rankin量表(mRS)评分0分12例,2分6例,3分5例。出院后随访6~60个月,平均20.6个月;末次随访,mRS评分0分19例,1分1例,2分1例;DSA随访显示Raymond分级Ⅰ级17例,Ⅱ级6例。结论 对急性期不具备使用抗血小板治疗条件的病人,建议急性期单纯弹簧圈栓塞防止再出血,二期支架置入术,可取得良好的效果。

参考文献/References:

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备注/Memo

备注/Memo:
(2022-09-07收稿,2022-11-18修回)
通讯作者:刘学武,E-mail:lxw198803@163.com
更新日期/Last Update: 2022-01-31