颅内动脉瘤栓塞术的临床分析

目的：用动脉瘤栓塞体积比评价颅内动脉瘤栓基术的治疗效果，观察颅内动脉瘤栓塞术治疗颅内动脉瘤的影响因素及颅内动脉瘤栓塞术的术后情况。方法：选取112例行血管内栓塞治疗的患者为研究对象，按术后动脉瘤栓塞体积比分成VER〉25％和VER〈25％两组，观察不同的栓塞材料（电解可脱弹簧圈、水解可脱弹簧圈）和术中血管的痉挛程度（轻、中、重）对栓塞程度的影响；术后随访106例病人，按动脉瘤栓塞体积比分成VER〉25％和VER〈25％两组，统计两组患者的再出血率和复发率，用动脉瘤栓塞体积比评价栓塞术的预后效果。结果：动脉瘤栓塞体积比VER〉25％和VER〈25％两组间进行比较，不同血管痉挛情况下和使用不同的栓塞材料在两组间均存在显著差异（P〈O．05），具有统计学意义；术后随访半年，比较VER〉25％和VER〈25％两组的再出血率也有显著差异（P〈O．05），具有统计学意义。结论：动脉瘤栓塞体积比在评价颅内动脉瘤栓塞术中有重要意义，血管痉挛情况、栓塞材料是影响颅内动脉瘤栓塞术栓塞疗效的主要影响因素；术后随访证实动脉瘤栓塞体积比对评价动脉瘤栓塞术的预后有一定的作用。

Clinical Analysis of Intracranial Aneurysms by Aneurysms Embolization

Objective： To evaluate the effects of intracranial aneurysm embolization by aneurysm embolization volume on treatment of intracranial aneurysms and state of postoperative by intracranial aneurysm embolization. Methods： 112 cases who had accepted the intracranial aneurysms embolization were divided into the VER 〉 25 % group and the VER 〈 25 % group on the basis of postoperative volume, and the effect of embolization degree, different embolism materials （GDC, DCS） and vasospasm in intracranial aneurysm embolization were observed. 106 cases were followed up after the operation, and the clinical data, the treatment effect of intracranial aneurysms embolization were evaluated by the aneurysm embolization volume. Results： There were statistically significant differences on the degree of different vasospasm and embolization materials between the VER〉 25 % group and the VER〈25 % group （P〈0.05）. After followed up for halfa year, there was statistically significant difference about the rate of the rehaemorrhagia between two groups （P〈0.05）. Conclusions： Different vasospasm and embolization materials have important influence on the curative effect of intracranial aneurysms embolization. It is important and significant that the VER has the efficacy evaluation which is influenced on the intracranial aneurysm embolization was confirmed after operation and follow-up.