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目的总结血管内栓塞治疗颅内动脉瘤的临床经验。方法 36例蛛网膜下腔出血患者经全脑血管造影(DSA)或CT血管造影(CTA)证实颅内动脉瘤40个。28个窄颈动脉瘤微弹簧圈直接栓塞,12个宽颈动脉瘤选用Remodeling重塑技术栓塞。按格拉斯哥(GOS)预后评分评价疗效。结果 40个动脉瘤均一次性栓塞,其中28个100%栓塞,5个95%栓塞,7个90%栓塞。术后疗效(按GOS预后评分):恢复良好32例,轻残2例,重残1例,死亡1例。随访存活的35例,临床症状均明显改善,未见复发出血者。1例轻残,34例恢复良好,良好率为97%。结论血管内栓塞治疗颅内动脉瘤,手术安全、有效、微创,术后并发症少。
Objective To summarize the clinical experience of intravascular embolization in the treatment of intracranial aneurysms. Methods Thirty - six patients with subarachnoid hemorrhage were confirmed by DSA or CT angiography (CTA). 28 narrow aneurysm coils directly embolization, 12 wide-necked aneurysms Remodeling remodeling technique embolization. Glasgow (GOS) prognostic score to evaluate the efficacy. Results All the 40 aneurysms had a single embolization, of which 28 were 100% embolized, 5 were 95% embolized and 7 were 90% embolized. Postoperative efficacy (according to GOS prognostic score): good recovery in 32 cases, 2 cases of mild residual disability in 1 case, 1 case of death. Follow-up survival of 35 cases, clinical symptoms were significantly improved, no recurrence of bleeding. One case was mild residual and 34 cases recovered well. The good rate was 97%. Conclusions Endovascular embolization for intracranial aneurysms is safe, effective and minimally invasive with few postoperative complications.