血管腔内治疗在椎动脉夹层动脉瘤中的应用体会

doi:10.3969/j.issn.10056483.2018.11.008

摘要/Abstract

摘要： 目的总结血管腔内治疗在椎动脉夹层动脉瘤中的应用体会，探讨不同动脉瘤的治疗策略。方法回顾性分析我科进行血管腔内治疗的10例椎动脉夹层动脉瘤病人的临床资料和治疗效果。结果 10例病人均为椎动脉夹层动脉瘤，其中破裂出血9例，未破裂1例，所有动脉瘤均成功采用血管腔内方法进行治疗：椎动脉内单支架辅助弹簧圈栓塞6例，椎动脉与小脑后下动脉双支架辅助弹簧圈栓塞3例，覆膜支架植入1例。术后因迟发性脑出血及硬膜下血肿死亡1例，发生脑梗塞1例。结论充分分析每个动脉瘤的影像特点，采用个体化的血管腔内治疗方式可以获得满意的治疗效果。

关键词: , , 椎动脉, 夹层动脉瘤, 血管腔内治疗, 支架

Abstract: Objective To summarize the clinical efficacy of endovascular treatment for vertebral dissecting aneurysms and explore the treatment strategies for different aneurysms.Methods The clinical data and treatment effect of 10 patients with vertebral dissecting aneurysms were retrospectively analyzed. Results The 10 patients were vertebral dissecting aneurysms，including 9 cases with hemorrhage and 1 case without rupture.All aneurysms were successfully treated by endovascular method：6 cases were treated by single stentassisted coiling embolization in vertebral artery，3 cases were treated by double stentassisted coiling embolization in Vertebral artery and posterior inferior cerebellar artery，and 1 case was treated with covered stent implantation.Postoperatively 1 patient died due to delayed cerebral hemorrhage and subdural hematoma，Cerebral infarction occurred in 1 patient. Conclusion Satisfactory therapeutic effect can be achieved by fully analyzing the imaging characteristics of each aneurysm and adopting individualized endovascular treatment.

Key words: vertebral artery, , dissecting aneurysm, , , endovascular treatment, , , stent

沈旭辉邹建军. 血管腔内治疗在椎动脉夹层动脉瘤中的应用体会[J]. 临床外科杂志, 2018, 26(11): 825-827.

SHEN Xuhui, ZOU Jianjun. Clinical effect analysis of endovascular treatment of vertebral dissecting aneurysms[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 825-827.

参考文献

相关文章 15

[1]	王国义梁剑峰田锦林鲍峰. 内镜直视与X线透视下支架置入术治疗晚期食管贲门癌临床疗效比较[J]. 临床外科杂志, 2018, 26(9): 679-682.
[2]	马跃峰邢鑫马震川孔冉冉孙良璋乔哲李少民. 术中肋间神经阻滞联合术后静脉使用镇痛泵对开胸术后镇痛效果的观察[J]. 临床外科杂志, 2018, 26(9): 686-688.
[3]	张亦超熊涛陈淑娟胡航丁召钱群. 痔上黏膜环切术后并发直肠囊肿一例[J]. 临床外科杂志, 2018, 26(9): 720-720.
[4]	彭银杰李印陈威鹏凃成志袁俊马海波秦建军. 老年cT1N0M0食管癌病人内镜和手术治疗预后分析：基于SEER数据库[J]. 临床外科杂志, 2018, 26(9): 651-656.
[5]	陈传贵段晓峰姜宏景. 达芬奇机器人手术系统辅助对比胸腹腔镜辅助食管癌根治术的研究进展[J]. 临床外科杂志, 2018, 26(9): 715-718.
[6]	谭锋维薛奇牟巨伟高禹舜毛友生王大力赵峻李宁王镇高树庚赫捷. 从最新指南解读食管胃交界部腺癌的外科治疗[J]. 临床外科杂志, 2018, 26(9): 641-643.
[7]	陆超敬洪江李鑫杨立信. 经口置入钉砧头系统在颈段及胸上段食管癌根治术中的应用[J]. 临床外科杂志, 2018, 26(9): 662-664.
[8]	邹文彬邓豫付向宁吴骁伟. 分层缝合加带蒂大网膜包埋在食管良性破裂修补术中的应用[J]. 临床外科杂志, 2018, 26(9): 665-667.
[9]	王涛贾建博辛向兵朱爱林. 电视胸腔镜食管癌微创手术后呼吸衰竭发生风险的潜在影响因素分析[J]. 临床外科杂志, 2018, 26(9): 668-670.
[10]	冯锦腾范坤张广健付军科高蕊. 食管异物202例临床分析[J]. 临床外科杂志, 2018, 26(9): 683-685.
[11]	赵选忠金志宏谢晓亮. 重组人尿激酶原（普佑克）经导管溶栓在急性下肢动脉血栓中的应用[J]. 临床外科杂志, 2018, 26(11): 822-824.
[12]	徐迪林强袁冰吴建伟张中保李雪萍. 围手术期康复临床路径在防治老年病人髋部骨折全髋关节成形术后静脉血栓栓塞的作用研究[J]. 临床外科杂志, 2018, 26(11): 828-830.
[13]	马人杰贺琦张海伟张俊华郑荣. 腹腔镜完全腹膜外补片植入术治疗腹股沟疝的近期疗效及安全性观察[J]. 临床外科杂志, 2018, 26(11): 862-864.
[14]	彭俊王允骆艳丽李民杰. 直径大于5cm非小细胞肺癌行全胸腔镜肺叶切除术后放置单胸管引流的可行性分析[J]. 临床外科杂志, 2018, 26(11): 845-848.
[15]	张洪印贾学伟刘汉博 . 老年人上消化道穿孔应用开腹手术与腹腔镜联合胃镜治疗的疗效对比分析[J]. 临床外科杂志, 2018, 26(11): 849-851.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed