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《Acta Acadimae Medicinae Qingdao》 2003-01
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INTRACRANIAL ANEURYSMS: OPERATION VERSUS INTERVENTIONAL THERAPY

MENG Qinghai, LI Guobin Department of Neurosurgery, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003;  
Objective To compare the outcome of operation with interventional therapy for intracranial aneurysms. Methods\ 165 cases with 181 aneurysms treated with operation or interventional therapy were analyzed. In which, 123 cases( 132 aneurysms, 9 multiple ones included) were treated operatively. 42 cases( 49 aneurysms, 7 multiple ones included) treated interventionally.\ Results\ In operative group, the necks of aneurysms were clipped in 126 , aneurysms removed in 16, and wrapped 6. 110 cases (89.4%) were cured, 8 (6.5%) with neurological sequelae, 5 cases ( 4.0% ) died. In interventional group, 38 aneurysms (77.6%) were totally embolized, 6 (12.2%) embolized over 90%, while 3 between 70%-90%. For multiple ones, one was embolized , another one was converted to operation due to failure of embolization. 37 cases (88.1%) were cured, 2 ( 4.7% ) with sequelae, 3 (7.1%) died.\ Conclusion\ Micro surgical technique for clipping the neck of an aneurysm is considered to be one of the best treatments. The interventional therapy can achieve similar results as done by operation, especially for cases difficult to be treated by surgery such as aneurysms with wide neck, giant or multiple ones. Ruptured aneurysm must be treated urgently with surgery or interventional therapy.
【CateGory Index】: R739.4
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