俞国松 阮善平 胡小铭 赵志新 泮双军 杨松

    [摘要] 目的 探討介入栓塞术治疗颅内破裂前循环微小动脉瘤的临床疗效和安全性。 方法 回顾性分析2018年2月至2019年3月在我院应用介入栓塞术治疗的破裂前循环微小动脉瘤患者14例的临床资料，应用术后即刻造影后Raymond分级、随访复发率及改良Rankin量表评分评估手术疗效，以围术期手术相关并发症发生率及随访复查载瘤动脉狭窄、弹簧圈脱出发生率评价手术安全性。 结果 14例患者中，应用单纯弹簧圈栓塞12例，支架辅助栓塞1例;术后即刻造影示致密栓塞9例(64.3%)，瘤颈残留4例(28.6%)，手术失败1例;患者围术期均未发生手术相关并发症;术后3～6个月随访结果显示，完全闭塞11例、弹簧圈袢部分脱出至载瘤动脉1例、瘤颈残留1例。患者术后6个月mRS评分均为0～1分。 结论 颅内前循环破裂微小动脉瘤患者应用介入栓塞术治疗安全有效。

    [关键词] 破裂;微小;动脉瘤;介入

    [中图分类号] R743.4? ? ? ? ? [文献标识码] B? ? ? ? ? [文章编号] 1673-9701(2021)07-0066-04

    The clinical efficacy and safety of interventional embolization in the treatment of intracranial ruptured anterior circulation microaneurysms

    YU Guosong1? ?RUAN Shanping1? ?HU Xiaoming1? ?ZHAO Zhixin1? ?PAN Shuangjun1? ?YANG Song2

    1.Department of Neurosurgery， Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University， Taizhou? 317000， China; 2.Department of Radiology， Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University， Taizhou? ?317000， China

    [Abstract] Objective To explore the clinical efficacy and safety of interventional embolization in the treatment of intracranial ruptured anterior circulation microaneurysms. Methods The clinical data of 14 patients with ruptured anterior circulation microaneurysms treated by interventional embolization in our hospital from February 2018 to March 2019 were analyzed retrospectively. The curative effect of the operation was evaluated by Raymond grading after immediate postoperative angiography ......