摘要
目的探讨支架辅助弹簧圈治疗颅内宽颈动脉瘤的临床疗效和安全性。方法选取本院2015年7月至2016年7月收治的颅内宽颈动脉瘤患者80例并根据治疗方式分为对照组和观察组，每组40例。对照组采用单纯弹簧圈栓塞治疗，观察组采用支架辅助弹簧圈治疗，比较两组患者的栓塞有效率、术中并发症发生率、术后预后效果和术后不良反应。结果观察组患者栓塞有效率高于对照组（100．O％比82．5％，P〈0．05），而两组术中并发症比较差异无统计学意义（P〉0．05）；此外，观察组患者治疗后3个月的预后MRS评分及不良反应都优于对照组，差异有统计学意义（P〈0．05）。结论支架辅助弹簧圈治疗宽颈动脉效果较好，安全有效，值得临床推广。
Objective To investigate the clinical efficacy and safety of stent assisted coil embolization in the treatment of intracranial wide neck aneurysm. Methods 80 patients with intracranial wide neck aneurysm admitted in our hospital from July 2015 to July 2016 were selected and randomly divided into control group and observation group, 40 cases in each group. The control group was treated with coil embolization, while the observation group was treated with stent assisted coil embolization. And then the efficacy of embolization, the rate of intraoperative complications, the postoperative prognosis, and postoperative adverse reactions of the two groups were compared. Results The effective rate of embolization in the observation group was significantly higher than that in the control group （100.0% vs.82.5%） （P〈0.05）, there was no statistically significant difference in the rate of intraoperative complications （P〉0.05）; 3 months after treatment, the prognosis MRS score and adverse reactions of the observation group were better than those of control group, with statistically significant differences （P〈0.05）. Conclusion The effect of stent assisted coil embolization in the treatment of wide neck aneurysm is good, safe and effective, worthy of clinical application.
作者
黄刚
徐静宜
Huang Gang;Xu Jingyi(Department of Neurology, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Luohe 462000, Chin)
出处
《国际医药卫生导报》
2017年第22期3512-3515,共4页
International Medicine and Health Guidance News
