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目的探讨颅内动脉瘤应用电解可脱性弹簧圈(GDC)栓塞的疗效、并发症及防治经验。方法采用GDC对40例43个颅内破裂动脉瘤进行栓塞,分析其临床资料并随访。结果本组颅内动脉瘤成功栓塞43个,其中100%栓塞36个,95%栓塞6个,90%栓塞1个,术中无死亡。1例于术后3d发生脑梗,经治疗后好转,1例于术后2周出现脑积水,行脑室腹腔分流术后好转。40例患者随访6-12个月,经DSA复查示2例动脉瘤复发,1例共济失调,1例支架内狭窄,其余均恢复良好,全组术后均无再破裂出血。结论 GDC栓塞颅内动脉瘤安全实用,疗效可靠,针对病情选择术式和技巧、积极防治并发症是提高疗效的重要方法。
Objective To investigate the curative effect, complications and prevention and treatment of intracranial aneurysm using electrosurgical detachable coil (GDC) embolization. Methods Forty - three 43 intracranial ruptured aneurysms were embolized with GDC. The clinical data were analyzed and followed up. Results This group of successful embolization of intracranial aneurysms 43, of which 36 were 100% embolization, 95% embolization 6, 90% embolization 1, no death during surgery. One patient developed cerebral infarction on the 3rd postoperative day, which improved after treatment. One patient developed hydrocephalus at 2 weeks postoperatively and was improved after intraperitoneal peritoneal shunt. Forty patients were followed up for 6-12 months. Two cases of aneurysm recurrence, one case of ataxia and one case of stent stenosis were confirmed by DSA. The others recovered well. There was no recurrence of hemorrhage after operation. Conclusions GDC embolization intracranial aneurysm is safe and practical, reliable curative effect. According to the disease selection technique and technique, active prevention and treatment of complications is an important method to improve curative effect.