| 摘要: |
| ［摘要］ 目的 探讨>70岁老年人颅内动脉瘤破裂血管内栓塞治疗的临床疗效。方法 选取45例>70岁经CT检查确诊为蛛网膜下腔出血且全脑血管造影明确诊断动脉瘤破裂出血的患者，按Hunt-Hess分级，Ⅱ级15例，Ⅲ级17例，Ⅳ级及以上13例。经数字减影造影（DSA）发现动脉瘤48个。依据动脉瘤的不同结构和不同位置，采取单纯弹簧圈栓塞、支架结合栓塞与球囊辅助栓塞；术后予“3H”、“尼莫地平”预防血管痉挛治疗，同时治疗基础疾病。结果 成功栓塞44个动脉瘤，栓塞成功率为91.67%。术后评分优良37例，轻度残疾5例，重度残疾1例，死亡2例。结论 血管内栓塞可以有效治疗>70岁患者破裂颅内动脉瘤，防止动脉瘤再次破裂出血，临床效果显著。 |
| 关键词: 老年病人 颅内动脉瘤 血管内栓塞 |
| DOI：10.3969/j.issn.1674-3806.2014.08.01 |
| 分类号:R 741 |
| 基金项目:广西自然科学基金资助项目（编号：桂科自0728086） |
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| Embolization treatment of rupturing intracranial aneurysm in patients older than 70 years |
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XIAO Quan，ZHANG Guo-zhi，CHEN Hai-jun，et al.
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Department of Neurosurgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To analyse and discuss the clinical curative effect of endovascular embolization of intracranial aneurysm for rupturing intracranial aneurysm in elderly patients(>70 years old).Methods Forty-five patients(>70 years old) were selected, subarachnoid hemorrhage by CT examination and aneurysm by cerebral angiography.According to Hunt-Hess classification: there were 32 cases in Ⅱ～Ⅲ class, and 13 cases above Ⅳ class. Forty-eight aneurysms we found through digital subtraction angiography. According to the different structure and position of aneurysms, which were sent with or without coil and bollooon assisted for endovascular embolization. After operation, they were treated by “3H” and nimodipine for preventing cerebral vasospasm. At the same time, the basic diseases were treated.Results Successful embolization was performed in 45 aneurysms, the embolization success rate was 91.67%. The scores of operation showed, 37 cases were excellent; 5 cases were mild disability; 1 case was disability and 2 cases were death.Conclusion Endovascular embolization can effectively treat the rupturing intracranial aneurysms in patients older than 70 years, and prevent aneurysms ruptured bleeding again. |
| Key words: Elderly patients Intracranical aneurysm Endovascular embolization |
