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中华神经创伤外科电子杂志

中华神经创伤外科电子杂志 ›› 2018, Vol. 04 ›› Issue (06) : 367 -370. doi: 10.3877/cma.j.issn.2095-9141.2018.06.012

所属专题： 文献；

短篇论著

介入栓塞术治疗颈内动脉-后交通段动脉瘤的临床疗效分析
张东焕1, 王宏磊1, 孟浩1, 刘天一1, 冯颖利1, 齐远1, 徐宁1,†()   
  1. 1. 130021　长春，吉林大学第一医院神经外科
  • 收稿日期:2018-11-10 出版日期:2018-12-15
  • 通信作者: 徐宁

Clinical analysis of interventional embolization for internal carotid artery-posterior communicating segment aneurysms

Donghuan Zhang1, Honglei Wang1, Hao Meng1, Tianyi Liu1, Yingli Feng1, Yuan Qi1, Ning Xu1,†()   

  1. 1. Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, China
  • Received:2018-11-10 Published:2018-12-15
  • Corresponding author: Ning Xu
  • About author:
    Corresponding author: Xu Ning, Email:
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张东焕, 王宏磊, 孟浩, 刘天一, 冯颖利, 齐远, 徐宁. 介入栓塞术治疗颈内动脉-后交通段动脉瘤的临床疗效分析[J]. 中华神经创伤外科电子杂志, 2018, 04(06): 367-370.

Donghuan Zhang, Honglei Wang, Hao Meng, Tianyi Liu, Yingli Feng, Yuan Qi, Ning Xu. Clinical analysis of interventional embolization for internal carotid artery-posterior communicating segment aneurysms[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(06): 367-370.

目的

分析介入栓塞术治疗颈内动脉-后交通段动脉瘤的复发情况及与形态学的关系。

方法

选取吉林大学第一医院神经外科自2013年9月至2017年6月行介入栓塞治疗的起源于后交通动脉的动脉瘤患者57例。根据头数字减影血管造影将患者分为：a型、b型及c型。采用单纯栓塞及支架辅助栓塞治疗，依据Raymand分级评估栓塞疗效，及术后6个月~1年的复发率。

结果

a型9例；b型33例；c型15例。57例随访患者中，复发11例，术后总体复发率为19.3%。其中b型动脉瘤中，复发患者为7例，复发率为21.2%；c型动脉瘤中，复发患者为4例，复发率为26.7%。

结论

颈内动脉-后交通段动脉瘤栓塞术后复发集中于b型及c型动脉瘤。

关键词: 颈内动脉-后交通段动脉瘤, 动脉瘤术后复发, 栓塞治疗
Objective

To analyze the recurrence of internal carotid artery-posterior communicating segment aneurysms treated by interventional embolization and its relationship with morphology.

Methods

Fifty-seven patients with aneurysms originating from posterior communicating artery treated by interventional embolization from September 2013 to June 2017 in Department of Neurosurgery, The First Hospital of Jilin University, were chosen in our study. These patients were divided into type a, b and c according to DSA, and received simple embolization and stent assisted embolization. The embolization efficacy was evaluated according to Raymand classification, and the effect was reviewed after 6 months to 1 year.

Results

There were 9 cases of type a, 33 cases of type b, 15 cases of type c. Of the 57 patients who followed up, 11 patients recurred, and the overall recurrence rate was 19.3%. Of the type b aneurysms, 7 patients recurred and the recurrence rate was 21.2%; and of type c, 4 patients recurred, and the recurrence rate was 26.7%.

Conclusion

Recurrence of internal carotid artery-posterior communicating artery after embolization focused on type b and type c aneurysms.

Key words: Internal carotid artery-posterior communicating segment aneurysms, Postoperative recurrence of aneurysm, Embolization treatment
图1 颈内动脉-后交通段动脉瘤的患者分型
图1 颈内动脉-后交通段动脉瘤栓塞术前术后影像图
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