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血管内支架结合弹簧圈治疗颅内宽颈动脉瘤 被引量：2

Endovascular stent combined with GDC for treatment of intracranial wide-necked aneurysms
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摘要 目的:探讨应用血管内支架结合电解脱弹簧圈(GDC)栓塞治疗颅内宽颈动脉瘤的临床疗效。方法:30例颅内宽颈动脉瘤(瘤颈宽度2.0～6.5mm,体/颈比≤2)患者,采用血管内支架结合GDC对动脉瘤进行栓塞治疗,并与30例传统方法栓塞的宽颈动脉瘤患者做对比。结果:25例患者应用血管内支架结合GDC使动脉瘤成功栓塞;5例患者仅行支架封堵动脉瘤开口,其中1例于术后2周因动脉瘤再次破裂出血而死亡。29例临床随访3～20个月,无再出血及血栓栓塞症状。对照组30例患者中10例因动脉瘤颈过于宽阔,弹簧圈无法在瘤腔内停留而致栓塞失败;另20例患者术后6个月,5例动脉瘤颈部复发,1例因动脉瘤再次破裂致蛛网膜下腔出血。结论:血管内支架结合GDC治疗颅内宽颈动脉瘤效果优于传统方法栓塞,是一种安全有效的方法,值得临床推广与深入研究。
作者 罗祺 王宏磊 徐宁 赵程欣 罗毅男 王长坤
机构地区 吉林大学第一医院神经外科
出处 《吉林大学学报（医学版）》 CAS CSCD 北大核心 2005年第4期615-617,共3页 Journal of Jilin University：Medicine Edition
基金 吉林省科技厅资助课题(20010419)
关键词 颅内动脉瘤 支架 栓塞 治疗性
分类号 R653 [医药卫生—外科学]
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参考文献6

二级参考文献37

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共引文献81

同被引文献43

  • 1林爱龙,马廉亭,李俊,余泽,秦尚振,李爱冰,林俊明,宋朝理.颈动脉粥样硬化性狭窄的血管内支架治疗[J].南方医科大学学报,2006,26(12):1731-1732. 被引量：5
  • 2张鑫,刘建民,周晓平,许奕,洪波,黄清海,张珑,佘家贵,赵瑞.血管内支架结合弹簧圈栓塞犬宽颈动脉瘤的病理学研究[J].中华神经外科杂志,2007,23(8):585-588. 被引量：28
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吉林大学学报（医学版）
2005年 第4期

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