[1]廖可立,童 瑜,陈贵军,等.吲哚菁绿荧光血管造影在颅内动脉瘤手术中的应用[J].新乡医学院学报,2019,36(3):234-237.[doi:10.7683/xxyxyxb.2019.03.007]
 LIAO Ke-li,TONG Yu,CHEN Gui-jun JIN Wei.Application of intraoperative indocyanine green fluorescein angiography in of intracranial aneurysm surgery[J].Journal of Xinxiang Medical University,2019,36(3):234-237.[doi:10.7683/xxyxyxb.2019.03.007]
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吲哚菁绿荧光血管造影在颅内动脉瘤手术中的应用
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
36
期数:
2019年3
页码:
234-237
栏目:
临床研究
出版日期:
2019-03-05

文章信息/Info

Title:
Application of intraoperative indocyanine green fluorescein angiography in of intracranial aneurysm surgery
作者:
廖可立1童 瑜1陈贵军1金 伟2
(1.自贡市第一人民医院神经外科,四川 自贡 643000;2.鼓楼医院神经外科,江苏 南京 210008)
Author(s):
LIAO Ke-li1TONG Yu1CHEN Gui-jun1 JIN Wei2
(1.Department of Neurosurgery,Zigong First People′s Hospital,Zigong 643000,Sichuan Province,China;2.Department of Neurosurgery,Drum Tower Hospital,Nanjing 210008,Jiangsu Province,China)
关键词:
吲哚菁绿荧光血管造影动脉瘤
Keywords:
indocyanine greenfluorescein angiographyaneurysm
分类号:
R651.1+2
DOI:
10.7683/xxyxyxb.2019.03.007
文献标志码:
A
摘要:
目的 探讨吲哚菁绿(ICG)荧光血管造影在颅内动脉瘤手术中的应用价值。方法 选择2013年8月至2017年2月自贡市第一人民医院收治的24例颅内动脉瘤患者为研究对象,患者均行动脉瘤夹闭术,术中给予ICG荧光血管造影,术后随访3~68个月,记录患者的预后。结果 ICG荧光血管造影能明确辨认动脉瘤大小、瘤体指向,术中确认动脉瘤颈残留3例,载瘤动脉分支血管闭塞2例,穿通支血管误夹1例。供血动脉阻断后引流静脉的最大荧光强度显著低于动脉瘤切除前 (P<0.05),动脉瘤切除后引流静脉的最大荧光强度显著低于供血动脉阻断后(P<0.05)。动脉瘤切除前和供血动脉阻断后引流静脉显影延迟时间比较差异无统计学意义(P>0.05),动脉瘤切除后引流静脉显影延迟时间显著长于动脉瘤切除前和供血动脉阻断后 (P<0.05)。患者均顺利完成手术,无手术相关死亡病例,术后随访期间死亡5例(20.8%,5/24)。结论 术中ICG荧光血管造影在颅内动脉瘤手术中具有重要的应用价值,能够提供高质量、高分辨率的图像,提高手术安全性,改善患者预后。
Abstract:
Objective To explore the application value of intraoperative indocyanine green(ICG) fluorescein angiography in the intracranial aneurysm surgery.Methods Twenty-four intracranial aneurysm patients in Zigong First People′s Hospital from August 2013 to February 2017 were selected as subjects.All patients were given aneurysm neck clipping,and were given intraoperative ICG fluorescence angiography.The patients were followed-up for 3-68 months and the prognosis were recorded.Results The size and direction of the aneurysms could clearly identify by ICG fluorescein angiography.There were 3 cases of residual aneurysm neck surgery,2 cases of parent artery branch vascular occlusion,1 case of arteries inadvertent occlusion.The maximum fluorescence intensity of the drainage vein after the blockade of the feeding artery was significantly lower than that before the aneurysm resection (P<0.05),and the maximum fluorescence intensity of the drainage vein after the aneurysm resection was significantly lower than that after the blockade of the feeding artery (P<0.05).There was no significant difference in the delayed time of the drainage vein development before aneurysm resection and after the blockade of the feeding artery (P>0.05);the delayed time of the drainage vein development after aneurysm resection was significantly longer than that before aneurysm resection and after the blockade of the feeding artery (P<0.05).All patients completed the operation successfully,there was no surgery related deaths,and there were 5 cases(20.8%) dead during the followed up period.Conclusion The intraoperative ICG fluorescein angiography has important application value in intracranial aneurysm surgery,it can provide high quality and high resolution images,and improve operation safety and the prognosis of patients.

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更新日期/Last Update: 2019-03-05