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目的 探讨颅内破裂动脉瘤早期GDC栓塞治疗的效果。方法 10例颅内破裂动脉瘤 ,其中首次破裂 8例 ,2次破裂 2例 ,动脉瘤的位置 :大脑前动脉 1例 ,大脑中动脉 1例 ,前交通动脉 5例 ,后交通动脉 2例 ,前交通及后交通动脉多发 1例。病人分级 :Hunt-HessⅠ级 2例 ,Ⅱ级 4例 ,Ⅲ级 2例 ,Ⅳ级 1例 ,Ⅴ级 1例 ,FisherCT分级Ⅰ级 2例 ,Ⅱ级 6例 ,Ⅲ级 2例。采用GDC早期栓塞治疗 ,7例于 3天内治疗 ,3例于 6天内治疗。结果 10例 11个动脉瘤 ,10 0 %栓塞 8个 ,95 %栓塞 2个 ,90 %栓塞 1个 ,1例死亡 ,术后观察 1个月～ 2年 ,7例效果良好 ,1例植物状态生存 ,1例再次发生蛛网膜下腔出血。结论 GDC早期栓塞是治疗颅内破裂动脉瘤的较好方法。
Objective To investigate the effect of early GDC embolization in intracranial ruptured aneurysms. Methods Ten cases of ruptured intracranial aneurysm were diagnosed in 8 cases with rupture for the first time and 2 cases with rupture in 2 cases. The location of the aneurysm was 1 case of anterior cerebral artery, 1 middle cerebral artery, 5 anterior communicating artery, 2 posterior communicating artery, 1 case of multiple anterior and post traffic arteries. The patients were graded as follows: Hunt-Hess grade I in 2 cases, grade II in 4 cases, grade III in 2 cases, grade IV in 1 case, grade V in 1 case, FisherCT grade in 2 cases, grade II in 6 cases and grade III in 2 cases. GDC early embolization treatment, 7 cases were treated within 3 days, 3 cases were treated within 6 days. Results A total of 10 aneurysms were obtained in 10 patients, with 10% of 10 emboli, 2 of 95% embolization and 1 of 90% embolization. One patient died after 1 month to 2 years. Seven patients achieved good results. One patient Survival, 1 case of subarachnoid hemorrhage again. Conclusion Early embolization of GDC is a better method for the treatment of ruptured intracranial aneurysms.