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目的探讨血管内治疗大型动脉瘤的方法、效果及其并发症的防治。方法回顾性分析2000年1月至2006年12月间我科经血管内治疗的109例颅内大型动脉瘤患者的临床资料。结果患者术后恢复良好99例(90.8%),功能障碍8例(7.3%),死亡2例(1.8%)。101例(共105枚)大型动脉瘤患者接受血管内栓塞治疗,其中100%闭塞73枚,90%～95%闭塞21枚,80%闭塞11枚。8例患者行载瘤动脉闭塞术。107例术后随访8～36个月无出血病例。58例患者经血管造影或MRA随访,9枚动脉瘤再通。结论血管内栓塞治疗颅内大型动脉瘤安全、有效,中期疗效肯定,长期随访结果尚待进一步完善。
Objective To explore the method and effect of endovascular treatment of large aneurysms and the prevention and treatment of its complications. Methods The clinical data of 109 patients with intracranial major aneurysm treated by endovascular treatment in our department from January 2000 to December 2006 were analyzed retrospectively. Results The patients recovered well in 99 cases (90.8%), dysfunction in 8 cases (7.3%) and death in 2 cases (1.8%). One hundred and eleven patients with a large aneurysm were treated with endovascular embolization, of which 73 were 100% occluded, 21 were occluded 90% -95% and 11 occluded 80%. Eight patients underwent nodal artery occlusion. 107 cases were followed up for 8 to 36 months without bleeding. 58 patients were followed up by angiography or MRA, and 9 aneurysms were recanalized. Conclusions Endovascular embolization is a safe and effective method for the treatment of large intracranial aneurysms. The long-term follow-up results have yet to be further improved.