难以用介入方法治疗的颅内动脉瘤27例分析
Intracranial aneurysms difficult to be treated by endovascular interventional therapy: report of 27 patients
目的 分析难以用介入方法治疗的颅内动脉瘤的特点,并报告手术治疗效果.方法 从瘤颈、瘤体大小、囊颈比及颅内血管条件等方面,分析27例(33个)由介入科转诊,行显微手术治疗的颅内动脉瘤的特点,27例中男7例,女20例,年龄27~67岁.结果 难以用介入方法治疗的颅内动脉瘤包括宽颈动脉瘤(瘤颈>4 cm)、较大动脉瘤(最大直径≥8 mm)及血管内操作失败动脉瘤(血管迂曲或严重的血管痉挛),手术后恢复良好,无死亡病例.结论 对于某些介入治疗困难的颅内动脉瘤可以考虑选择显微手术治疗,效果良好.
更多Objective To analyze the characteristics of aneurysms difficult to be treated by endovascular interventional therapy and report the results of operation. Methods 27 patients with 33 intracranial aneurysms transferred from the ward of interventional therapy, 7 males and 20 females, aged 47 (27 -67), accepted microsurgical operation, The neck, volume, aspect ratio and blood vessel condition of the aneurysms were analyzed. Results The aneurysms difficult to be treated by endovascular interventional therapy included those with wide neck (>4 mm), large volume (maximal diameter≥8 mm), and failure in endovascular maneuvers (because of flexed blood vessel and severe vasospasm). The total outcome of operation was good and no death occurred. Conclusion Some aneurysms difficult to be treated by endovascular interventional therapy should be treated by microsurgical operation, which will get a better result.
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