血管内栓塞颅内破裂动脉瘤相关并发症的探讨.docVIP

血管内栓塞颅内破裂动脉瘤相关并发症的探讨 赵展1舒航2殷利明1卓礼霞1钟德泉1王文涛1徐伟光1张威1 (1广东药学院附属第一医院广东广州510080) (2广东省人民医院神经外科 广东广州 510080) 【摘要】目的 探讨血管内栓塞颅内破裂动脉瘤相关并发症的原因及其 防治方法。方法 回顾性分析从2003年6月到2013年5月行介入栓塞颅内破裂 动脉瘤879例，分为A组(2003年6月至2008年5月)以及B组(2008年6 月至2013年5月)，总结介入栓塞颅内破裂动脉瘤相关并发症的种类，对两组资 料进行对比，并分析相关并发症产生的原因，提出防治策略。结果对两组患者 资料进行统计学分析显示：(1)在介入治疗距患者发病时间，瘤颈〉4.0mm或 者颈/体＞2/3,使用支架辅助技术治疗的动脉瘤方面的差异有统计学意义 (Plt;0.05)；而在动脉瘤的部位、大小、形状和使用球囊辅助技术方面的差异 无统计学意义(Pgt;0.05) o (2)在发牛动脉瘤破裂、脑积水，血管痉挛方面的 差异有统计学意义(Plt;0.05)；而在发牛血栓形成、弹簧圈外逸、过度栓塞、 支架移位、术后非动脉瘤出血、穿刺部位血肿方面的差异无统计学意义 (Pgt;0.05) o结论 随着对血管内栓塞颅内破裂动脉瘤相关并发症的重视，以 及介入材料的改进以及术者栓塞技术的提高，能有助于降低部分并发症的发牛; 对并发症正确的处理，有助于提高患者的治愈率和牛存质量。 【关键词】颅内破裂动脉瘤 血管内栓塞 并发症 【中图分类号】R730 【文献标识码】A 【文章编号】2095-1752 (2014) 07-0089-03 [Abstract] Objective To explore the complications related to the endovascular treatment of Ruptured Intracranial Aneurysms (RIA), and summarize its prevention methods. Method: Retrospectively analyzed 879 hospitalized patients who underwent embolization of intracranial aneurysm rupture from June 2003 to May 2013? All patients were divided into two groups. Group A contains those receive the treatment from June 2003 to May 2008, while Group B from 2008 June to 2013 May. Summery the complications related to the endovascular treatment of RIA? All the related complications were compared between Group A and Group B to find out the reason they arise and the prevention strategies. Results: Statistical analysis of these two groups showed that sign ifica nt d iff ere nces were found betwee n Group A and Group B based on time from on set to treatme nt, an eurysm that the diameter of aneurysm neck is greater than 4 or the rate between neck and body is more than two than three, aneurysm treated by stent assisted technical, while there were no significant differences based on aneurysm site, size, shape, balloon assisted technical. Statistical analysis in complications showed that significant differences were found based on an eurysm ruptured, hydrocephaly, an giospasm,, while there were no sign