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本文报告了应用电解可脱式微弹簧圈(Guglielmi detachable coils,GDC)治疗9例大型或巨型颅内梭形动脉瘤的结果。男性6例,女性3例,年龄12～63岁。4例病人有蛛网膜下腔出血史;4例有占位效应;1例无症状者动脉瘤位于动静脉畸形的供血动脉处 5例动脉瘤位在幕上,4例位在后颅窝。5例为巨型,4例为大型,3例病人施行了保存载瘤动脉的选择性栓塞。6例病人施行了动脉瘤及载瘤动脉的完全性栓塞。通过血管造影、球囊阻闭试验及戊巴比妥钠试验以判断对阻闭载瘤动脉的耐受性。6例动脉瘤得到永久性栓塞,2例部分再通。1例应用GDC栓塞未获成功。
This article reports the results of treating 9 cases of large or giant intracranial aneurysms with Guglielmi detachable coils (GDC). 6 males and 3 females, aged 12 to 63 years old. 4 patients had a history of subarachnoid hemorrhage; 4 patients had a space-occupying effect; 1 asymptomatic aneurysm was located at the feeding artery of arteriovenous malformations, 5 patients were located on the screen and 4 patients were located in the posterior fossa. 5 were massive, 4 were large, and 3 patients underwent selective embolization to preserve the parent artery. Six patients underwent complete embolization of the aneurysm and parental artery. Through angiography, balloon block test and pentobarbital sodium test to determine the resistance of parental artery occlusion. 6 cases of permanent aneurysm embolism, 2 cases recanalization. One case of GDC embolization was unsuccessful.