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中华介入放射学电子杂志 ›› 2020, Vol. 08 ›› Issue (01) : 33 -37. doi: 10.3877/cma.j.issn.2095-5782.2020.01.008

所属专题: 文献

神经介入

不同治疗策略对颅内蛇形动脉瘤的短中期结局影响
邓桥1, 冯文峰1,()   
  1. 1. 510515 广东广州,南方医科大学南方医院神经外科
  • 收稿日期:2019-07-05 出版日期:2020-02-25
  • 通信作者: 冯文峰

Effects of different treatment strategies on short and medium-term outcomes of serpentine aneurysms

Qiao Deng1, Wenfeng Feng1,()   

  1. 1. Department of Neurosurgery, Nanfang Hospital of Southern Medical University, Guangdong Guangzhou 510515, China
  • Received:2019-07-05 Published:2020-02-25
  • Corresponding author: Wenfeng Feng
  • About author:
    Corresponding author: Feng Wenfeng, E-mail:
引用本文:

邓桥, 冯文峰. 不同治疗策略对颅内蛇形动脉瘤的短中期结局影响[J]. 中华介入放射学电子杂志, 2020, 08(01): 33-37.

Qiao Deng, Wenfeng Feng. Effects of different treatment strategies on short and medium-term outcomes of serpentine aneurysms[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(01): 33-37.

目的

探讨不同手术方式和治疗策略对颅内蛇形动脉瘤患者的短中期结局影响。

方法

回顾性分析2015年1月至2018年6月南方医科大学南方医院收治的6例颅内蛇形动脉瘤患者的临床资料,按照要求纳入不同治疗组,经过定期随访头颅CT、MRI和DSA等,观察蛇形动脉瘤的形态转归以及神经功能缺损改善,术后GOS和mRS评分变化,以判断患者的预后是否良好。

结果

该6例颅内蛇形动脉瘤均实现完全或近完全闭塞,GOS评分为4~5分,mRS评分为0~1分,患者无新发神经功能缺损。

结论

考虑解剖位置和相关因素的不同治疗策略,可以改善蛇形动脉瘤的临床转归及预后。

Objective

To investigate the effects of different surgical methods and treatment strategies on short-term outcomes in patients with intracranial serpentine aneurysms.

Methods

The clinical data of 6 patients with intracranial serpentine aneurysms in our hospital from January 2015 to June 2018 were retrospectively analyzed. The patients were included in different treatment groups according to the requirements. After regular follow-up, CT, MRI and DSA were performed. To observe the morphological outcome of the serpentine aneurysm and the improvement of neurological deficit, GOS and mRS scores to assess the prognosis of the patient.

Results

All 6 cases of intracranial serpentine aneurysms achieved complete or near complete occlusion. GOS score was 4-5 points and mRS score was 0-1 points.The patients had no new neurological defects.

Conclusions

Different treatment strategies considering anatomical location and related factors could improve the clinical outcome and prognosis of serpentine aneurysms.

表1 颅内蛇形动脉瘤患者的临床资料
图1 典型病例1(男性,19岁,颈内动脉大型动脉瘤)的脑血管造影和支架植入过程
图2 典型病例2(女性,32岁,大脑中动脉上干蛇形动脉瘤)的脑血管造影图
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