[1]万军,张晓龙,鲁刚,等.颅内破裂囊状动脉瘤的血管内介入治疗[J].介入放射学杂志,2010,(11):847-851.
 WAN Jun,ZHANG Xiao-long,LU Gang,et al.Endovascular treatment of ruptured saccular intracranial aneurysms[J].journal interventional radiology,2010,(11):847-851.
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颅内破裂囊状动脉瘤的血管内介入治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年11期
页码:
847-851
栏目:
神经介入
出版日期:
2010-11-25

文章信息/Info

Title:
Endovascular treatment of ruptured saccular intracranial aneurysms
作者:
万军张晓龙鲁刚耿道颖顾伟瑾张磊胡宙洪泳何俊马春英纪莉华
200040  上海市静安区中心医院/复旦大学附属华山医院静安分院介入科;复旦大学附属华山医院放射科
Author(s):
WAN Jun ZHANG Xiao-long LU Gang GENG Dao-ying GU Wei-jing ZHANG Lei HU Zhou HONG Yong HE Jun MA Chun-ying JI Li-hua
Department of Interventional Radiology, Central Hospital of Shanghai Jing’an District, the Affiliated Huashan Hospital Jing’an Branch of Fudan University, Shanghai 200040, China
关键词:
颅内破裂动脉瘤 血管内栓塞 介入治疗
分类号:
R814.43;R732.2.1
文献标志码:
A
摘要:
目的探讨颅内破裂囊状动脉瘤的血管内治疗的价值和技术。方法回顾性分析上海市静安区中心医院和上海华山医院2004年7月-2008年5月,因自发性颅内出血患者就诊,经全脑DSA检查,确诊颅内囊状动脉瘤138例患者,共149枚动脉瘤。(剔除<2mm的微小动脉瘤患者);并行血管内栓塞治疗。结果本组128枚(86%)囊性动脉瘤完全栓塞;12枚(8%)95%栓塞;9枚(6%)栓塞小于95%,其中4个为宽颈动脉瘤,5个为宽颈大动脉瘤。138例患者中93例(67.4%)患者进行了全脑血管造影随访,DSA随访从6~36个月,平均16.8个月。其中4例(4.3%)复发,但均无再次破裂出血发生。结论颅内囊性动脉瘤血管内治疗并中期随访提示颅内破裂囊性动脉瘤介入治疗是一种安全、有效的治疗方法;破裂囊性动脉瘤栓塞的重点是栓塞瘤颈和载瘤动脉相邻的真性动脉瘤,远端如形成动脉瘤囊泡或假囊,栓塞时无需栓塞或致密栓塞。长期效果有待进一步随访。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:20100518
更新日期/Last Update: 2010-11-25