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

作　　者：崔铉默[1] CUI Xuanmo(Department of lnterventional therapy, Anshan Central Hospital, Ansan 114001, Liaoning, China)

机构地区：[1]鞍山市中心医院介入科,辽宁鞍山114001

出　　处：《贵州医科大学学报》2016年第11期1350-1352,1357,共4页Journal of Guizhou Medical University

摘　　要：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 micro-coil intervention in the treatment of intracranial aneurysms. Methods：62 cases of intracranial aneu-rysm 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 inter-ventional procedures. The success rate of embolization,GOS score,adverse reaction rate,tumor re-currence and mortality were compared between the two groups. Results：The success rate of emboliza-tion in the study group（96. 9%）was higher than that in the control group（83. 3%）,and the differ-ence 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：颅内动脉瘤 放射学 介入法 栓塞 自膨胀式支架 微弹簧圈 

分 类 号：R651.22[医药卫生—外科学]