颅内动脉瘤术中栓塞治疗并发症原因分析

摘要

Objective To explore the causes of complications after endovascular embolization treatment of intraeranial aneurysms, formulate adaptive control scheme, improve the success rate of embolization of cerebral aneurysms. Methods 172 cases of intracranial aneurysms were choosed in our hospital from July 2007 to July 2014, and treated with the Hydrocoil embolization, Among them, 78 cases were treated with the electrolysis hydrocoil embolization, 55 cases were treated with hydrolysis hydrocoil embolization, 39 cases were treated with mixed embolization.Results 10 cases of 172 patients were occured complications during intraoperative, including aneurysm rupture hemorrhage (5 cases), thrombosis ( 2 cases), spring coil out ( 2 cases), severe cerebral vasospasm(1 case). ConclusionAneurysm rupture hemorrhage is the most common complications on endovascular embolization of intracranial aneurysms, and thrombosis, spring coil out, severe cerebrovascular spasm were also occurred on endovascular embolization of intracranial aneurysms .Strictly formal operation can improve the success rate of rescue.%目的：分析颅内脑动脉瘤血管内栓塞治疗并发症发生的原因，制定适应的防治方案，提高脑动脉瘤栓塞治疗的成功率。方法选我院2007年7月～2014年7月采用弹簧圈栓塞治疗颅内动脉瘤共172例。其中，电解弹簧圈栓塞78例，水解弹簧圈栓塞55例，两种弹簧圈混合栓塞39例。结果172例患者术中发生并发症10例，其中动脉瘤破裂出血5例，血栓形成2例，弹簧圈脱出2例，严重脑血管痉挛1例。采用正规操作抢救后恢复良好。结论颅内脑动脉瘤血管内栓塞治疗并发症以动脉瘤破裂出血最为常见，其余有血栓形成，弹簧圈脱出，严重脑血管痉挛等。严格正规的操作可提高抢救成功率。