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目的 对 115例颅内动脉瘤血管内栓塞治疗进行总结、分析 ,旨在提高治愈率 ,减少并发症。材料与方法 男 66例 ,女 49例 ,全部病例均经股动脉穿刺插管选择性全脑血管造影确诊。 40例用可脱球囊栓塞 ,75例用钨丝螺旋圈栓塞。结果 115例经选择性全脑血管造影发现 116个动脉瘤 ,瘤体最小为 5mm× 5mm ,最大为 65mm× 46mm。 40例用可脱球囊栓塞中 ,18例栓塞成功 ,成功率 45 % ;75例用钨丝螺旋圈栓塞中 ,61例栓塞成功 ,成功率 81.3 %。结论 合理选用栓塞材料 ,严格掌握适应证是提高动脉瘤栓塞的成功率、减少并发症的关键
Objective To summarize and analyze the treatment of 115 cases of intracranial aneurysms by endovascular embolization, aiming to improve the cure rate and reduce the complications. Materials and Methods Male 66 cases, female 49 cases, all cases were confirmed by selective cerebral angiography through the femoral artery puncture intubation. 40 cases with detachable balloon embolization, 75 cases with tungsten spiral coil embolization. Results A total of 116 aneurysms were found in 115 patients undergoing selective whole cerebral angiography. The smallest tumor size was 5mm × 5mm and the largest was 65mm × 46mm. Of 40 cases with detachable balloon embolization, 18 cases were successful in embolization, with a success rate of 45%. Among the 75 cases with helical coil embolization, 61 cases were successfully embolized with a success rate of 81.3%. Conclusion Appropriate selection of embolic material, strict indications is to improve the success rate of aneurysm embolization, the key to reduce complications