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目的观察双微导管介入栓塞治疗颅内宽颈动脉瘤的近远期疗效。方法选取2013年9月—2015年3月福建省立医院神经内科收治的颅内宽颈动脉瘤患者25例,均采用双微导管介入栓塞治疗,横断面随访近期、远期疗效。结果 25例患者均顺利实施介入手术,术后即刻造影证实动脉瘤100%栓塞6例,90%栓塞17例,80%栓塞2例,载瘤动脉通畅,无支架置入术。术后有3例患者发生并发症,给予针对性治疗后好转。临床随访6~48个月,平均随访(28.12±4.35)个月,随访期间无新的神经功能缺损症状和再出血现象,17例患者格拉斯哥预后评分为5分,8例评分为4分,复查颅脑CT血管成像(CTA)或全脑血管造影(DSA)均没有动脉瘤复发现象。结论双微导管栓塞治疗颅内宽颈动脉瘤近、远期疗效确切,复发率低,是一种安全、有效的治疗手段。
Objective To observe the short-term and long-term effects of dual microcatheter embolization in treatment of wide-necked intracranial aneurysm. Methods Twenty-five patients with wide-necked intracranial aneurysm admitted to Department of Neurology, Fujian Provincial Hospital from September 2013 to March 2015 were enrolled in this study. All patients were treated with dual microcatheter embolization and were followed up for long-term and long-term follow-up. Results Twenty-five patients underwent interventional surgery successfully. Immediate angiography confirmed that aneurysm had 100% embolization in 6 cases, 90% embolization in 17 cases, 80% embolization in 2 cases, and parental artery unobstructed without stenting. Postoperative complications occurred in 3 patients, giving targeted treatment improved. The clinical follow-up ranged from 6 to 48 months, with an average follow-up of (28.12 ± 4.35) months. There were no new symptoms of neurological deficits and rebleeding during the follow-up period. Seventeen patients had a Glasgow prognostic score of 5 and eight patients rated 4, There was no aneurysm recurrence in CT or CTA. Conclusion Dual microcatheter embolization in the treatment of intracranial wide-necked aneurysms with short-term, long-term curative effect, low recurrence rate is a safe and effective treatment.