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目的探讨机械可脱性微弹簧圈 ( MDS)和电解可脱性微弹簧圈 ( GDC)在颅内动脉瘤介入治疗中的价值及其缺陷 ,并探讨不同大小动脉瘤的栓塞技巧。方法 2 0例患者的 2 1个动脉瘤中 ,7个动脉瘤采用 MDS栓塞治疗 ,14个采用 GDC栓塞治疗。结果 2 0例患者除1例患者栓塞后因动脉瘤破裂出血死亡外 ,其余 19例患者的 2 0个动脉瘤微弹簧圈栓塞后 3个月 DSA随访 ,13个动脉瘤完全闭塞 ,7个动脉瘤部分闭塞。结论微弹簧圈栓塞治疗颅内动脉瘤 ,技术可靠 ,危险性小 ,是目前介入治疗动脉瘤的最佳方法。
Objective To investigate the value and defect of mechanical detachable microcoil (MDS) and electrolytic detachable microcoil (GDC) in the interventional treatment of intracranial aneurysm and to explore the embolization techniques of aneurysm of different sizes. METHODS: Of 21 aneurysms in 20 patients, 7 were treated with MDS and 14 with GDC. Results All the 20 patients except one died of aneurysm rupture after thromboembolism. Twenty patients with 20 aneurysms were followed up for DSA 3 months after embolization, thirteen aneurysms were completely occluded, and seven arteries Tumor partially occluded. Conclusion Micro-coil embolization for the treatment of intracranial aneurysms, reliable, low risk, is the best interventional treatment of aneurysms.