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目的探讨血管内栓塞颅内微小动脉瘤技巧及临床效果。方法回顾性分析2009年1月—2011年12月经血管内栓塞治疗的35例、37枚颅内微小动脉瘤患者。分析临床疗效、预后及随访结果,讨论血管内治疗颅内微小动脉瘤的安全性、有效性及操作技巧。结果术后即刻造影发现37枚栓塞的微小动脉瘤中,达完全栓塞者27枚,动脉瘤瘤颈残留7枚,瘤腔残留3枚;30例患者获术后6~36个月随访,未发现动脉瘤再破裂出血。结论血管内栓塞治疗颅内微小动脉瘤是安全有效的。应用一些手术技巧和各种栓塞材料,微小动脉瘤可以达到理想的治疗结果。
Objective To investigate the intracranial arterial embolization techniques and clinical results. Methods A retrospective analysis of January 2009 - December 2011 endovascular treatment of 35 cases, 37 patients with intracranial aneurysms. Analysis of clinical efficacy, prognosis and follow-up results to discuss the safety, effectiveness and operating skills of intravascular treatment of intracranial microaneurysm. Results Thirty-seven embolized aneurysms were found in the immediate postoperative angiography, of which 27 were completely embolized, 7 were remained at the aneurysm neck, and 3 were remained in the aneurysm. Thirty patients were followed up for 6 to 36 months Aneurysms were found to rupture again. Conclusions Endovascular embolization is a safe and effective treatment for intracranial microaneurysm. Application of a number of surgical techniques and a variety of embolic materials, micro-aneurysms can achieve the desired outcome of treatment.