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为探讨应用可脱性弹簧圈 (MDS或GDC)栓塞脑动脉瘤的效果和经验 ,在神经安定麻醉和全身肝素化条件下 ,采用可脱性弹簧圈经Mag 3F/2F或Tracker 1 0微导管对 86例脑动脉瘤病人进行栓塞治疗 ,其中MDS栓塞 54例 60个动脉瘤 ,GDC栓塞 32例 38个动脉瘤。治疗结果 :成功栓塞 94个动脉瘤 ,其中 1 0 0 %闭塞 64个 ,95%～ 98%闭塞 1 6个 ,90 %～ 95%闭塞 8个 ,80 %～ 90 %闭塞 6个。 4个动脉瘤未栓塞成功。痊愈 83例 ,死亡 3例。 1 6例动脉瘤通过脑血管造影随访 ,随访时间 6～ 1 8个月 ,弹簧圈未完全闭塞者可见瘤颈体残留增大。表明MDS、GDC可有效地闭塞脑动脉瘤 ,创伤性小 ,但操作者应具有一定的经验和技巧。远期效果尚需大宗病例的长期随访观察。
To explore the effect and experience of embolization of cerebral aneurysm with detachable coil (MDS or GDC), a detachable coil was used under the condition of neuroleptic anesthesia and generalized heparinization, and the Mag3F / 2F or Tracker 10 microcatheter Eighty-six patients with cerebral aneurysm were treated with embolization, in which MDS embolized 54 patients with 60 aneurysms and GDC embolized 32 patients with 38 aneurysms. Results: A total of 94 aneurysms were successfully embolized, of which 64 were occluded in 100%, 16 occluded in 95% to 98%, occluded in 90% to 95% and occluded in 80% to 90%. Four aneurysms were not successfully embolized. 83 cases were cured, 3 died. 16 cases of aneurysms were followed up by cerebral angiography. The follow-up time ranged from 6 to 18 months. The residual aneurysm in the neck was increased with incomplete occlusion of the coil. That MDS, GDC can effectively occlude cerebral aneurysm, traumatic, but the operator should have some experience and skills. Long-term results still need a large number of cases of long-term follow-up observation.