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目的总结22例颅内动脉瘤电解可脱卸弹簧圈(GDC)栓塞治疗,探讨术中操作注意点、手术时机、术中出血、术后再出血的处理。方法采用GDC18、GDC10系统栓塞治疗22例24个颅内动脉瘤。结果动脉瘤腔完全栓塞16个,栓塞大于90%6个,栓塞小于90%2个。1例术后1月半复发,经手术夹闭而愈。全组无死亡。结论颅内动脉瘤的GDC栓塞治疗是一较为安全、效果较好的技术。
Objective To summarize the treatment of electrocortical detachable coil (GDC) embolization in 22 cases of intracranial aneurysms, and to investigate the intraoperative attention points, surgical timing, intraoperative bleeding, and postoperative rebleeding. Methods Twenty-four cases of intracranial aneurysms were treated with GDC-18 and GDC-10 system embolization. Results In the aneurysm cavity, 16 cases were completely embolized, and embolization was more than 90% and 6 embolization was less than 90%. One patient experienced recurrence at one and a half months after surgery and was cured by surgery. There was no death in the entire group. Conclusion GDC embolization for intracranial aneurysms is a safe and effective technique.