血管内介入治疗椎动脉夹层动脉瘤临床效果分析

张淇

（甘肃省河西学院附属张掖人民医院，甘肃 张掖，734000）

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摘要：

目的 分析血管内介入治疗对椎动脉夹层动脉瘤的临床效果。方法 选择2010 年1 月至2017 年1 月本院神经外科收治 的22 例椎动脉夹层动脉瘤患者作为研究对象，患者均行血管内介入治疗，监测患者预后情况。结果 14 例（63.64%）患者行支 架辅助弹簧圈栓塞技术；5 例（22.73%）行支架成形术（单支架置入3 例，双支架置入2 例），3 例（13.64%）行单纯闭塞动脉瘤 及载瘤动脉，治疗效果均良好。结论 椎动脉夹层动脉瘤采用血管内介入治疗临床疗效可靠，值得临床推广应用。

关键词：夹层动脉瘤；椎动脉；血管内介入治疗

中图分类号：R743文献标志码：A文章编号：2096-1413(2018)01-0018-02

Clinical effect analysis of endovascular intervention in the treatment of vertebral artery dissecting aneurysm
ZHANG Qi
(Zhangye People``s Hospital Affiliated to Hexi University, Zhangye 734000, China)

ABSTRACT: Objective To analyze the clinical effect of endovascular intervention in the treatment of vertebral artery dissection aneurysm. Methods Twenty-two patients with vertebral artery dissecting aneurysm admitted in neurosurgery department of our hospital from Jannuary 2010 to Jannuary 2017 were selected as the study objects. All the patients were treated with endovascular interventional therapy in our hospital, and patients`` prognosis were monitored. Results Forteen cases (63.64%) underwent stent assisted coil embolization; 5 cases (22.73%) underwent stenting (single stent placement in 3 cases, double stent in 2 cases), 3 cases (13.64%) underwent occlusion of the aneurysm and parent artery, the treatment effects were good. Conclusion Endovascular interventional applied in the treatment of vertebral artery dissecting aneurysm is reliable, which is worthy of application and promotion in clinic.
KEYWORDS: dissecting aneurysm; vertebral artery; endovascular interventional therapy

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