贵州医科大学学报

2016, v.41;No.194(11) 1350-1352+1357

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支架结合微弹簧圈技术介入治疗颅内动脉瘤的疗效
Cinical Efficacy of Stents Combined with Micro-coil Intervention in the Treatment of Iintracranial Aneurysms

崔铉默;
CUI Xuanmo;Department of Interventional therapy,Anshan Central Hospital;

摘要(Abstract):

目的:探讨支架联合微弹簧圈介入治疗颅内动脉瘤的临床疗效及安全性。方法:62例颅内动脉瘤病例随机分成对照组和研究组,对照组接受单纯微弹簧圈栓塞治疗,研究组采用支架结合微弹簧圈介入治疗,比较两组患者栓塞成功率、GOS评分、不良反应发生率、瘤体复发及死亡率。结果:研究组患者栓塞成功率(96.9%)高于对照组的(83.3%),差异有统计学意义(P<0.05);研究组GOS评分为5分患者所占比例高于对照组(P<0.05),研究组总体不良事件发生率、瘤体复发及死亡率低于对照组,差异具有统计学意义(P<0.01)。结论:对于一般颅内动脉瘤,颅内支架辅助微弹簧圈技术疗效值得肯定,并发症少,预后好。
Objective: To investigate the clinical efficacy and safety of stents combined with microcoil intervention in the treatment of intracranial aneurysms. Methods: 62 cases of intracranial aneurysm patients were randomly divided into control group and study group. The control group received a single micro-coil embolization therapy while the study group received stents combined microcoil interventional procedures. The success rate of embolization,GOS score,adverse reaction rate,tumor recurrence and mortality were compared between the two groups. Results: The success rate of embolization in the study group(96. 9%) was higher than that in the control group(83. 3%),and the difference was statistically significant(P < 0. 05). The GOS score in the study group was 5,higher than that of the control group(P < 0. 05),the incidence of adverse events,tumor recurrence and mortality rate were lower than those of the control group,and the difference was statistically significant(P <0. 01). Conclusion: For the average intracranial aneurysm,intracranial stent assisted by micro coil technology is effective,which has fewer complications and good prognosis.

关键词(KeyWords): 颅内动脉瘤;放射学,介入法;栓塞;自膨胀式支架;微弹簧圈
intracranial aneurysm;radiology,interventional;embolization;self-expanding stent;micro-coil

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作者(Author): 崔铉默;
CUI Xuanmo;Department of Interventional therapy,Anshan Central Hospital;

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DOI: 10.19367/j.cnki.1000-2707.2016.11.027

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