支架联合弹簧圈与单纯弹簧圈治疗颅内相对宽颈动脉瘤的临床比较分析

发布时间：2018-11-06 11:32

【摘要】：目的探讨颅内自膨式支架联合弹簧圈与单纯弹簧圈治疗颅内相对宽颈脉瘤的临床疗效。方法收集遵义市第一人民医院和遵义医学院附属医院于2009年7月至2013年7月颅内相对宽颈动脉瘤相关病例手术资料,共收集128例临床资料。对两种方法治疗颅内相对宽颈动脉瘤的瘤颈栓塞效果、术中相关并发症及预后进行回顾性分析。结果 (1)瘤颈及动脉瘤栓塞效果:治疗组64例达到致密栓塞,无瘤颈残留;对照组50例达致密栓塞,术后即刻造影动脉瘤瘤颈残留12例,部分栓塞2例。(2)术中动脉瘤再破裂治疗组1例,对照组2例;弹簧圈移位、弹簧圈脱出、弹簧圈解旋治疗组0例,对照组3例;脑血管痉挛及栓塞治疗组2例,对照组1例。(3)术后动脉瘤复发比较:治疗组动脉瘤无复发,对照组复发1例。结论支架与弹簧圈联合技术可以提高颅内相对宽颈动脉瘤栓塞成功率,提高治愈率及减少复发率。
[Abstract]:Objective to investigate the clinical effect of intracranial self-expanding stent combined with coils and simple coils in the treatment of intracranial relatively wide-necked vein tumors. Methods from July 2009 to July 2013, 128 patients with intracranial relative wide carotid aneurysms were collected from the first people's Hospital of Zunyi and affiliated Hospital of Zunyi Medical College. The results of embolization, intraoperative complications and prognosis of intracranial relatively wide-necked aneurysms were retrospectively analyzed. Results (1) Embolization effect of aneurysm neck and aneurysm: 64 cases in treatment group achieved dense embolization without residual aneurysm neck; In the control group, there were 50 cases of dense embolization, 12 cases of aneurysm neck residue and 2 cases of partial embolization immediately after operation. (2) one case in the treatment group of rerupture of aneurysm during operation, 2 cases in the control group; The coils were displaced, the coils were removed, and there were 0 cases in the treatment group and 3 cases in the control group. Cerebral vasospasm and embolization group (n = 2) and control group (n = 1). (3) there was no recurrence of aneurysm in the treatment group and one case in the control group. Conclusion the technique of stent and coils can improve the success rate of embolization, improve the cure rate and reduce the recurrence rate of intracranial relative wide-necked aneurysms.
【作者单位】：贵州省遵义市第一人民医院神经内科;遵义医学院附属医院脑血管病科;
【分类号】：R651.12

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