目的 探讨颅内破裂动脉瘤超早期介入栓塞治疗的临床效果.方法 回顾性分析采用血管内介入栓塞治疗的32例颅内破裂动脉瘤患者的临床资料,研究分析了患者的即时栓塞效果、手术相关并发症、复发率、临床预后及随访情况.动脉瘤栓塞程度采用Raymond分级,临床预后采取哥拉斯哥预后评分(GOS评分),5分、4分为良好, 3分为一般,2分、1分为差.结果 所有病例栓塞操作均成功完成,其中Raymond 1级26例,2级4例,Raymond 3级2例(术中动脉瘤破裂1例,予以紧急填塞止血后恢复良好,其中1例支架辅助患者在填塞弹簧圈时发现前交通动脉内血栓形成,予替罗非班应用后恢复血流).出院后随访3个月,根据GOS评分,恢复良好21例,轻度残疾6例,重度残疾4例,死亡1例.结论 超早期介入栓塞治疗破裂颅内动脉瘤安全性、有效性确切,可避免动脉瘤再次破裂出血,防止或减少并发症,改善患者预后.%Objective To investigate the clinical curative effects of interventional embolization in super early stage on intracranial rupture aneurysm. Methods The clinical data about 32 patients with treated by intravascular embolization were retrospectively analyzed to investigate the effects of immediate embolization,procedure-related complications,recurrence rate and clinical prognosis and follow-up. The degree of intracranial aneurysm embolization was graded by Raymond, and clinical prognosis was scored by GOS. Results All the cases of embolization were successfully completed,including 20 cases of grade one,4 cases of grade two,2 cases of grade three. All patients were followed up for three months. According to GOS, the outcome was considered as good in 21 cases,fair in 6 cases,and poor in 4 cases,and one patient died. Conclusion The interventional embolization in super early stage is safe and effective in treating intracrania rupture aneurysm,which can avoid rupture hemorrhage again,minimize and prevent complications and improve the prognosis of patients.
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