弹簧圈介入栓塞治疗脑动脉瘤46例

摘要

目的 观察血管内弹簧圈介入栓塞治疗脑动脉瘤的临床效果,为脑动脉瘤的介入治疗提供经验借鉴.方法 所有患者均进行了术前数字减影血管造影(DSA)检查,明确诊断结果.对46例患有脑动脉瘤患者进行血管内弹簧圈介入栓塞手术治疗.结果 46例动脉瘤患者中,43例栓塞治疗结果满意,但3例术中栓塞过程顺利,术后均出现了动脉瘤再次破裂出血的情况,经医治无效死亡.随访25例患者术后6～8个月DSA复查,见瘤体栓塞良好、未见复发,载瘤动脉通畅.结论 脑动脉瘤弹簧圈介入栓塞治疗是一种行之有效且较为安全的治疗方法.%Objective To observe the clinical effects of intravascular coil embolization in the treatment of cerebral aneurysms,and to provide some references for interventional therapy of cerebral aneurysms.Methods All patients underwent preoperative digital subtraction angiography (DSA) examination,and got a clear diagnosis.46 patients with cerebral aneurysm were treated by intravascular interventional embolization.Results 43 patients with aneurysm were satisfied with embolization.The embolization process was smooth in 3 cases.However,the aneurysm was bleeding again and died after operation.The tumor embolism was good,no recurrence,tumor artery patency during follow-up of 25 patients after 6 to 8 months.Conclusion Elastic ring interventional embolization of cerebral aneurysms is an effective and safe treatment.