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目的探讨基底动脉瘤血管内治疗的临床疗效。方法回顾性分析20例经血管内治疗的基底动脉瘤病人的临床资料。单纯弹簧圈栓塞8例,单纯支架治疗3例夹层动脉瘤,支架辅助弹簧圈栓塞治疗9例。结果 20例均成功栓塞,其中完全栓塞12例,部分栓塞3例;瘤颈残余5例。20例出院时KPS评分:恢复良好(>70分)16例,较差(≤70分)4例,其中17例DSA随访3~24个月,均无复发;其余3例电话或门诊随访3个月,均无再出血,症状改善。结论针对基底动脉瘤病人,恰当的血管内治疗技术是一种既安全有效又低复发率的治疗方法。
Objective To investigate the clinical efficacy of endovascular treatment of basilar artery aneurysms. Methods Retrospective analysis of 20 cases of endovascular treatment of patients with basilar artery aneurysm clinical data. Simple coil embolization in 8 cases, simple stent treatment of 3 cases of dissecting aneurysm, stent assisted coil embolization in 9 cases. Results 20 cases were successful embolization, including 12 cases of complete embolization, partial embolism in 3 cases; residual neck tumor in 5 cases. KPS scores of 20 patients discharged from hospital were good in 16 cases (> 70 points), 4 cases were poor (≤70 points), of which 17 cases were followed up for 3-24 months without recurrence. The remaining 3 cases were followed up for 3 or 24 hours Month, no more bleeding, the symptoms improved. Conclusions For patients with basilar artery aneurysm, proper endovascular therapy is a safe and effective treatment with low recurrence rate.