作 者: (何麟); (蔡洪); (赵春勤); (陈忠); (陈泰山); (刘谊);
机构地区: 首都医科大学宣武医院
出 处: 《中国医师进修杂志》
摘 要: 目的 探讨球囊辅助夹闭联合包裹技术治疗颈内动脉血泡样动脉瘤的有效性及安全性.方法 回顾性分析2011年8月至2016年6月使用球囊辅助夹闭联合包裹技术治疗9例颈内动脉血泡样动脉瘤患者的临床资料.结果 9例患者成功接受球囊辅助夹闭联合包裹技术,术中无动脉瘤破裂出血,术后随访6个月,结果显示动脉瘤无复发,载瘤动脉无狭窄.结论 球囊辅助夹闭联合包裹技术治疗颈内动脉血泡样动脉瘤安全、有效,有助于降低颈内动脉血泡样动脉瘤术中出血及术后复发. Objective To investigate the effectiveness and safety of ballon-assisted surgical wrapping-clipping for the treatment of blood blister-like aneurysms (BBA) of internal carotid artery. Methods The clinical data of 9 patients with BBA of internal carotid artery who were treated by ballon-assisted surgical wrapping-clipping from August 2011 to June 2016 were retrospectively analyzed. Results All 9 patients were successfully treated with surgical wrapping-clipping in ballon-assisted technique. The BBA had no rebleeding.Nine cases were followed up clinically for six months. Digital subtractive angiography demonstrated no aneurysm in these patients, and showed no stenosis in the parent artery. Conclusions Ballon-assisted surgical wrapping-clipping in the treatment of BBA is effective and safety. It may help to reduce the risks of BBA rebleeding and recurrence.
分 类 号: [Z1]