颅内破裂微小动脉瘤的血管内治疗临床研究

目的探讨颅内微小破裂动脉瘤血管内治疗的技术可行性和临床疗效。方法凹顾性分析我院2007年10月-2012年3月共收治的10例颅内微小动脉瘤性急性蛛网膜下腔出血患者行血管内治疗病例，其中颈内动脉床突上段动脉瘤1例，后交通动脉瘤4例，前交通动脉瘤2例，大脑中动脉瘤1例，椎动脉瘤1例，小脑后下动脉瘤1例；行单纯可脱性微弹簧圈动脉瘤囊内栓塞8例，对其中的宽颈动脉瘤辅以血管支架、球囊辅助的瘤颈成形技术完成治疗2例。结果9例行可脱性微弹簧圈动脉瘤囊内栓塞病例，达完全致密栓塞8例，1例患者瘤颈有很小的部分残留为95％栓塞，在随访期间保持稳定；其中1例置人支架的颈内动脉床突上段动脉瘤，术后半年复查，未发现支架移位；本组病例无1例死亡。结论血管内治疗颅内破裂微小动脉瘤是可行和有效的，是外科颅内动脉瘤夹闭术的…．种有效替代方法。

Clinical research aboutendovascular treatment of ruptured micro - intracranial aneurysms

Objective Retrospective analysis of 10 cases since October 2002 to September 2011, we were treated Micro- intraeranial aneurysm in patients with acute subarachnoid hemorrhage and to explore the technical feasibility and clinical efficacy of small intracranial ruptured aneurysm endovascular treatment. Methods Retro- spective analysis of 10 easesabout acute subaraehnoid hemorrhagepatientswithmicro- intracranial anem3：sms were treated with endovaseulartreatment, Which one case of internal carotid artery clinoid segment aneurysm, 4 cases of posterioreommunieating artery aneurysm, 2 cases of anterior communicating artery aneurysm, one case of cerebral artery aneurysm, one ease of vertebral artery aneurysms, one case ofposterior inferior cerebellar artery aneurysm; eight casestook simple detachable micro - coil aneurysm capsule embolism, supplemented by the stent, torming the neck of the balloon - assisted technology to complete the treatment of two eases on which the wide - necked a- neurysms. Results 9 cases took detachable micro- coil aneurysm capsule enfl3olism, complete dense embolism eight eases, one patient neck with a very small part of the residue remained stable during follow - up; one case of carotid stent ingarteryelinoid on the aneurysm, postoperative half year review found no stent migration; this group of eases with no deaths. Conclusion Combined withthetreatment results of our hospital and the literature, we be- lieve that endovascular treatment of ruptured micro - intraeranial aneurysms is feasible and effective which can substitutesurgieal intracranial aneurysm surgery effectively.