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目的 急性出血期颅内动脉瘤的微弹簧圈囊内栓塞。方法 股动脉或颈动脉 Ｓｅｌｄｉｎｇｅｒ○ｓ 穿刺。用ｐｕｓｈｅｒ 推入自制弹簧圈或用 Ｍ Ｄ Ｓ 系统送入合适长度的微弹簧圈到动脉瘤腔内填塞动脉瘤腔。结果 本组无一例死亡。４２ 例动脉瘤中３８ 例 （９０ ％ ） 术后立即造影动脉瘤完全栓塞， 另外４ 例（１０ ％ ） 动脉瘤部分栓塞。２０ 例病人接受 Ｄ Ｓ Ａ 复查均未见动脉瘤复发。不全栓塞的４ 例动脉瘤中１ 例后交通动脉瘤半年后行 Ｄ Ｓ Ａ 见动脉瘤颈部扩大， 行二次栓塞， １ 例基底动脉瘤半年后虽经二次栓塞治疗， 一年后复查病人动脉瘤仍在继续扩大， １ 例椎动脉瘤和１ 例前交通动脉瘤 Ｄ Ｓ Ａ 复查见动脉瘤腔已完全闭塞。结论 对于囊状动脉瘤 Ｓ Ａ Ｈ 急性期的病人， 微弹簧圈动脉瘤腔内栓塞治疗是较为安全有效的方法。
Objective Acute hemorrhage of intracranial aneurysms within the microscopic coil embolization. Methods Femoral or carotid Seldinger ○ s puncture. Use a pusher to push a self-made coil or a suitable length of microvolume coil into the aneurysm cavity to fill the aneurysm cavity with the MDS system. Results of this group without any death. Thirty-eight (90%) of the 42 aneurysms had complete embolization of the contrast aneurysm immediately after surgery, and the other four (10%) of the aneurysms were partially embolized. No recurrence of aneurysm was observed in 20 patients undergoing D S A review. One case of 4 cases of incomplete aneurysm posterior communicating artery aneurysm line after six months D S A, see the aneurysm neck enlargement, the second embolization, 1 case of basilar artery after six months after the second embolization treatment, one year after the review The aneurysm of the patient continues to expand. One case of vertebral aneurysm and one case of anterior communicating artery aneurysm (DSA) were reviewed to find that the aneurysm was completely occluded. Conclusion For patients with acute cystic aneurysm S A H, intra-arterial embolization of aneurysm with a coiled coil is a safe and effective method.