研究 脳内血腫を伴ったくも膜下出血に対するコイル塞栓術の治療成績
研究 脳内血腫を伴ったくも膜下出血に対するコイル塞栓術の治療成績
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弹簧圈栓塞治疗蛛网膜下腔出血合并脑内血肿的研究结果
DOI：
10.11477/mf.1436203627
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
村山 雄一
中科院分区：
文献类型：
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作者：
丸山 史晃;入江 是明;結城 一郎;武井 淳;波多野 敬介;田中 俊英;長谷川 譲;村山 雄一
方法对2012年3月至2015年5月的临床资料进行回顾性分析。对13例蛛网膜下腔出血合并脑出血患者行弹簧圈栓塞术的临床资料进行回顾性分析。比较不同血肿部位的改良Rankin评分(MRS)对不同血肿部位的术后临床疗效。6例患者接受了额外脑室引流。仅1例患者在弹簧圈栓塞术后行开颅血肿清除术。尽管13例SAH患者中有10例(76.9%)术前SAH临床分级为IV或V级，但6例(46.2%)患者的预后良好(MRS=0~2)。结论弹簧圈栓塞术治疗破裂动脉瘤，尤其是位于额叶的破裂动脉瘤，合并脑出血且无脑突出，是一种可行且创伤较小的治疗方法。
MethodsA retrospective review was conducted between March 2012 and May 2015. Thirteen patients with SAH with ICH who underwent coil embolization were retrospectively analyzed. Modified Rankin Scale (mRS) scores were compared for postoperative clinical outcomes of different hematoma locations.ResultsAll ruptured aneurysms in the present series of patients were treated using endovascular surgery. Six patients underwent additional ventricle drainage. Only one patient underwent craniotomy for evacuation of the hematoma following coil embolization. Despite ten out of thirteen patients (76.9%) having a preoperative SAH clinical grade, as evaluated using the World Federation of Neurosurgical Societies grading system of IV or V, six (46.2%) patients had a favorable outcome (mRS= 0-2).ConclusionsCoil embolization for ruptured aneurysms, especially those located in the frontal lobe, with ICH and without cerebral herniation may be a feasible alternative and less invasive treatment.