论文部分内容阅读
目的 探讨颅内动脉瘤破裂早期血管内栓塞与显微手术的效果。方法 160例颅内动脉瘤破裂在 3d内早期经血管内栓塞和显微手术得到治疗 ,其中 114例经血管内栓塞 ,46例显微手术。结果 114例血管内治疗 ,78例完全闭塞 ,2 1例闭塞 95 % ,10例闭塞 90 % ,5例闭塞 85 %。出院时优 83例 ,良 19例 ,差 1例 ,死亡 11例。显微手术 46例 ,术后 2周行DSA检查证实动脉瘤全部夹闭。出院时 ,优 2 4例 ,良 10例 ,差 4例 ,植物生存 2例 ,死亡 6例。结论 颅内动脉瘤早期治疗 ,是杜绝再次出血的危险 ,有利于脑血管痉挛的防治 ,降低致残率和死亡率。
Objective To investigate the effect of early endovascular embolization and microsurgery for intracranial aneurysm rupture. Methods 160 cases of ruptured intracranial aneurysms were treated by endovascular embolization and microsurgery in the early period of 3d, including 114 cases of endovascular embolization and 46 cases of microsurgery. Results Of the 114 patients undergoing endovascular treatment, 78 were completely occluded, 21 were occluded 95%, 10 occluded 90%, and 5 occluded 85%. Excellent 83 cases discharged, good in 19 cases, poor in 1 case, 11 died. 46 cases of microsurgery, DSA examination 2 weeks after surgery confirmed all aneurysm clipping. At discharge, excellent in 24 cases, good in 10 cases, poor in 4 cases, 2 cases of plant survival, 6 cases of death. Conclusion Early treatment of intracranial aneurysms is to prevent the risk of rebleeding, is conducive to the prevention and treatment of cerebral vasospasm, reducing the morbidity and mortality.