目的 探讨后交通动脉瘤血管内栓塞治疗的适应证及并发症的防治.方法 回顾性分析113例血管内栓塞治疗后交通动脉瘤患者的临床资料及随访结果 .应用弹簧圈单纯栓塞82例,支架辅助26例,双导管技术2例,球囊辅助1例.结果 113例中111例成功栓塞,术中死亡1例,术中栓塞失败1例,术后死亡3例.术后DSA造影结果 按Raymond分级:I级83例,II级19例,III级9例.出院时无神经功能障碍96例,轻度神经功能障碍9例,重度障碍3例.全部病例随访3~40个月,均病情稳定,无再出血及新发神经功能障碍.38例伴动眼麻痹症状,23例完全恢复、15例部分恢复.结论 血管内栓塞是治疗后交通动脉瘤的一种微创、安全且有效的治疗方法 .%Objective To summarize the experience of endovascular treatment of posterior communicating artery aneurysms and discuss the indications and complications of the embolization.Methods The clinical data of 113 cases of posterior communicating artery aneurysms treated by endovascular embolization was retrospectively reviewed. 82 cases were embolized with detachable coils only; 26 cases had stent assist; 2 cases were treated with double microcathaters and 1 cases were treated with balloon remodeling technique.Results 111 of 113 cases were embolized successfully. According to Raymond grading for the immediate occlusion of the aneurysm,grade I was obtained in 83,grade II in 19 and grade III in 9 cases. Of 111 patients,96 were recovered well,9 mildly disabled,3 were severely disabled and 3 patients died after the embolization. All the patients were in stable condition and no newly-developed neurological dysfunction or rebleeding was observed within 3~40 months.Conclusion sEndovascular embolization was a minimally invasive,safe and effective method for treatment of posterior communicating artery aneurysms.
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