Sato K, Fujiwara S, Kameyama M, Ogawa A, Yoshimoto T, Suzuki J
Division of Neurosurgery, Tohoku University School of Medicine, Sendai.
Neurol Med Chir (Tokyo). 1990 Oct;30(10):734-7. doi: 10.2176/nmc.30.734.
The authors experienced 1903 cases of ruptured aneurysm between 1961 and 1986. Most cases were treated by clipping or ligating the aneurysmal neck. However, these procedures were impossible in 52 cases (2.7%), for which wrapping alone (21 cases), aneurysmal body clipping and wrapping (11 cases), or body ligation and wrapping (20 cases) was performed. We studied the long-term results in 44 of these 52 cases. Rerupture occurred in only two cases with incomplete wrapping. We concluded that complete wrapping, and wrapping of residual portions following aneurysmal body clipping or body ligation produce favorable results.
作者在1961年至1986年间共经历了1903例动脉瘤破裂病例。大多数病例采用夹闭或结扎动脉瘤颈部的方法进行治疗。然而，有52例（2.7%）无法进行这些操作，对这部分病例仅采用包裹术（21例）、动脉瘤体夹闭并包裹术（11例）或动脉瘤体结扎并包裹术（20例）。我们对这52例中的44例进行了长期随访。只有两例包裹不完全的病例出现了再次破裂。我们得出结论，完整包裹以及在动脉瘤体夹闭或体部结扎后对残余部分进行包裹可产生良好效果。
