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目的 报告并评价 46例宽颈动脉瘤的治疗方法及效果。方法 自 1997年以来对于 46例宽颈动脉瘤采取多种技术联合治疗。其中用 3D电解微弹圈“筐篮”技术栓塞治疗 2 7例 ,用球囊载瘤动脉再塑形联合GDC栓塞 17例 ,用支架联合GDC栓塞 2例。结果 使用筐蓝技术治疗的 2 7例中完全闭塞者为 2 2例 ,有 5例不完全闭塞 ;17例球囊再塑型技术治疗的动脉瘤 ,11例完全栓塞 ;2例支架加微弹簧圈栓塞 ,1例完全栓塞 ,1例近全栓塞 ,其中 1例术后出现了一过性的神经功能障碍。全部 46例无永久性神经症状并发症 ,44例保持载瘤动脉通畅。结论 对于宽颈动脉瘤 ,采用多种技术联合栓塞 ,可取得良好效果
Objective To report and evaluate the treatment and effect of 46 cases of wide-necked aneurysms. Methods A total of 46 wide-necked aneurysms were treated with various techniques since 1997. Among them, 27 cases were treated with 3D electrolytic micro-bomb “basket” technique, 17 cases were treated with balloon-bearing artery remodeling combined with GDC embolization, and 2 cases were treated with stent combined with GDC embolization. Results In 27 cases treated with basket blue technique, totally occluded were 22 cases, 5 cases were incomplete occlusion; 17 cases were treated by balloon remodeling technique, 11 cases were completely embolized; 2 cases were treated with micro-spring A ring embolization, 1 case of complete embolization, 1 case of nearly complete embolization, including 1 case of postoperative transient neurological dysfunction. All 46 patients had no permanent complications of neurological symptoms, while 44 patients maintained patency of their parental artery. Conclusion Wide-neck aneurysms, using a variety of techniques combined embolization, can achieve good results