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目的探讨颅内动脉瘤血管内栓塞治疗的指征、并发症发生原因及处理对策。方法对2002年12月至2005年12月通过血管内栓塞治疗的18例颅内动脉瘤进行回顾性分析。18例均在全麻下经微导管予EDC或DCS栓塞。结果所有病例均取得成功。2例患者在术中出现较严重的颈内动脉痉挛,处理后缓解。其中1例术后继发脑梗死,经治疗,1个月后逐渐恢复。结论血管内栓塞治疗颅内动脉瘤安全有效,神经介入技术和材料还有较大发展空间。
Objective To investigate the indications of intracranial aneurysm endovascular embolization, causes of complications and treatment strategies. Methods 18 cases of intracranial aneurysms treated by endovascular embolization from December 2002 to December 2005 were analyzed retrospectively. Eighteen patients underwent EDC or DCS embolization via microcatheter under general anesthesia. Results All cases were successful. In 2 patients, severe internal carotid artery spasm occurred during operation and was relieved after treatment. One case of postoperative cerebral infarction, after treatment, gradually recovered after 1 month. Conclusions Endovascular embolization is safe and effective for the treatment of intracranial aneurysms. There is still much room for development of nerve interventional techniques and materials.