【摘要】 目的 探讨电解可脱性弹簧圈(guglielmi detachable coil,GDC)栓塞治疗颅内动脉瘤的方法及效果。方法 2000年5月～2004年10月，栓塞治疗颅内动脉瘤15例，其中男5例，女10例，年龄20～68岁。颈内动脉近端动脉瘤5例，颈内动脉远段动脉瘤4例，前交通支动脉瘤4例，基底动脉顶端动脉瘤2例。动脉瘤直径最小5mm，最大31mm，所有病人均采用GDC材料进行栓塞。结果 100%栓塞9例，90%～99%栓塞4例，70%～90%栓塞2例，术后临床随访1～12个月，无一例再出血。结论 血管内栓塞治疗动脉瘤是一种安全、微创、有效的治疗方法，使用GDC栓塞材料操作方便、手术并发症少。

    【关键词】 动脉瘤；栓塞；可脱性弹簧圈

    Endovascular embolization treatment of intercranial aneurysms by using GDC

    JIN Wen,WANG Da-peng.

    Brain Hospital,The First People’s Hospital of Mudanjiang,Mudanjiang 157000,China

    【Abstract】 Objective To evaluate methods and effect of the endovascular embolization treatment of intracranial aneurysms.Methods 15 cases of intracranial aneurysms,5 cases males, 10 cases females,age range 20 to 68 years.5 cases proximal ICA aneurysms, 4 cases distal ICA aneurysms,4 cases ACoA aneurysms,2 cases bifurcation of BA aneurysms. The diameter of aneurysms range 5 to 31mm. All patients were treated by using GDC embolization.Results 9 cases aneurysms were 100% occluded, 4 cases aneurysms were 90%～99% occluded, 2 cases aneurysms were 70%～90% occluded. Postoperational following up period is from 1 to 12 months,none of all patients rehemorrhaged.Conclusion Endovascular embolization of intercranial aneurysms is a safe, minimaly invasive and effective method to treat intercranial aneurysms. Using GDC is easy to operate and a low incidences of complication. ......