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目的探讨和总结球囊辅助弹簧圈血管内治疗颅内宽颈动脉瘤的技术及疗效。方法回顾性分析采用球囊辅助可脱弹簧圈治疗30例(33枚)颅内宽颈动脉瘤患者的临床资料。结果球囊结合弹簧圈完成栓塞33枚动脉瘤,动脉瘤100%栓塞27枚,90%栓塞2枚,80%栓塞4枚。1例动脉瘤在栓塞前破裂,采用球囊暂时封闭瘤颈阻止出血,然后进行栓塞,挽救了患者的生命。1例动脉瘤栓塞即将结束时破裂,采用球囊封闭瘤颈数分钟后出血停止。球囊辅助包括7枚微小动脉瘤。无死亡。随访3~24个月30例患者无再出血及脑梗死。结论球囊结合弹簧圈栓塞颅内宽颈动脉瘤有较好的疗效,在使用中应注意球囊使用的特点。
Objective To investigate and summarize the technique and effect of balloon-assisted coil intracranial treatment of intracranial wide-necked aneurysms. Methods The clinical data of 30 patients with intracranial wide-necked aneurysms treated with balloon-assisted removable coil were retrospectively analyzed. Results The balloon combined with coil completed 33 aneurysms, 27 aneurysms with 100% embolization, 2 with 90% embolization and 4 with 80% embolization. One patient had an aneurysm ruptured before embolization, temporarily occluding the neck of the aneurysm with a balloon to stop bleeding, and then embolization, saving the patient’s life. A case of aneurysm embolism rupture near the end of the balloon with a closed neck for several minutes after the bleeding stopped. Balloon Assist includes 7 tiny aneurysms. No death. Thirty patients were followed up for 3 to 24 months without rebleeding and cerebral infarction. Conclusion balloon combined with coil embolization of wide-necked intracranial aneurysm has a good effect, should pay attention to the use of the characteristics of the use of the balloon.