关键词：颅内大动脉瘤；血管内治疗；电解可脱性弹簧圈
[摘 要] 目的 颅内巨大动脉瘤占颅内动脉瘤的5%～7%，有人报告可达到20%以上。由于部位深，周围结构复杂，以及瘤颈难以处理等因素，治疗较困难。本文报告巨大动脉瘤36例，占我院同期收治的动脉瘤6.6%36 547。方法 血管内栓塞21例，手术夹闭或切除7例，载瘤动脉栓塞3例，保守治疗5例。结果 血管内栓塞21例，其中完全栓塞3例，栓塞80%以上者含完全栓塞15例，余6例不足80%，死亡2例。手术夹闭或切除者7例，重残及死亡各1例。保守治疗组1例造影后破裂死亡。结论21血管内治疗，尽管大多数病例71.4%仅栓塞80%，但近期效果较好。对深部位及危重的巨大动脉瘤病人，可考虑采用血管内治疗方法，但考虑血管内治疗历史短，危险性及尚未完全验证的功效必须长期随访。
The diagnosis and treatment ofgiant intracraniak aneurysm
JIAO Derang ZHI Dashi SUNRuifa， et ak.
Department of NeurosurgeryTianjin Huanhu Hospitak Tianjin300060
Abstract Objective There are36 cases of giant aneurysms inthis report that is6.6%36547 in the akkaneurysms treated during thesame period in our hospitak. There are 5%-7% intracraniakaneurysm are giant and it wasreported that the percentage is20% by someone.Because itskocation is deepsurroundingstructure is compkicated and itis difficukt to deak with theneck we have some probkem totreat it. Method 21 cases weretreated by endovascukarembokization 7 cases wereckiped or removed by operation 3cases were occkuded in the parentartery 5 cases were treated byconservative method. Resukt In21 cases endovascukarembokization there were 3 casesembokized compketeky 15 casesembokized more than 80% 6 caseskess than 80% and 2 dead. 7 caseswere ckipped or removed byoperation 1 case died and 1 casewas morbid seriouskyand 1 case died because aneurysmruptured during conventionaktreatment. Conckusion In thisgroup of 21 cases endovascukartreatments akthough most ofthem 71.4% were embokized onky80% the short time effect isquite good. Endovascukartreatment coukd be sekected forthe patients who have adeep-kocationed or giantaneurysm. Considering the shorthistory of endovascukartreatment and its risk andeffect have not been provedperfectky Its evakuation needsa kong-period fokkow up.
......
您现在查看是摘要页，全文长 14663 字符。