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目的 对颅内动脉瘤诊断以及治疗方法和时机的选择进行探讨 ,以提高颅内动脉瘤的治愈率。方法 3 5例颅内动脉瘤进行了手术治疗 ,直视下手术夹闭 2 5例 ;电解式可脱性微弹簧圈 (GDC)血管内栓塞治疗 10例。再塑型技术治疗宽颈动脉瘤 1例。结果 开颅手术患者均直视下手术夹闭 ;血管内栓塞患者完全栓塞 9例 ,1例栓塞不全 ;优19例 ,良 13例 ,差 3例 ,本组病例无死亡。结论 数字式减法血管描记法 (DSA)、磁共振血管造影 (MRA )、计算机X线体层摄影 (CTA)是颅内动脉瘤诊断的主要手段 ,MRA可作为无创性筛选 ,DSA是动脉瘤诊断的金标准。手术夹闭和血管内栓塞治疗是颅内动脉瘤的主要治疗方法 ,动脉瘤破裂出血 ,主张早期或超早期手术
Objective To investigate the diagnosis of intracranial aneurysms and the choice of treatment methods and timing in order to improve the cure rate of intracranial aneurysms. Methods Twenty-five cases of intracranial aneurysms underwent surgical treatment, 25 cases underwent open surgery and 10 cases underwent endovascular embolization with GDC. Remodeling technique in treating 1 case of wide neck aneurysm. Results The patients underwent craniotomy underwent open surgery. Nine patients underwent endovascular embolization and one failed to complete embolization. Among the patients, 19 were excellent, 13 were good, and 3 were poor. No death occurred in this group of patients. Conclusions Digital subtraction angiography (DSA), magnetic resonance angiography (MRA) and computed tomography (CTA) are the main methods for the diagnosis of intracranial aneurysms. MRA can be used as a noninvasive screening method. DSA is an aneurysm diagnosis The gold standard. Surgical closure and endovascular embolization is the main treatment for intracranial aneurysms, aneurysm rupture bleeding, advocate early or ultra-early surgery