双微导管技术治疗颅内宽颈动脉瘤的疗效及对病人神经功能的影响  

The therapeutic effect and neurological function impact of dual microcatheter technology in patients with intracranial wide neck aneurysms

作　　者：马修尧 任超 刘彬 成维鹏 胡萍 丁磊 周肖 范鹏坤 MA Xiuyao;REN Chao;LIU Bin;CHENG Weipeng;HU Ping;DING Lei;ZHOU Xiao;FAN Pengkun(Department of Cerebrovascular Disease Diagnosis and Treatment Center,The First People's Hospital of Suzhou City,Suzhou,AnHui 234000,China)

机构地区：[1]安徽省宿州市第一人民医院脑血管病诊疗中心,234000

出　　处：《临床外科杂志》2024年第9期915-917,共3页Journal of Clinical Surgery

摘　　要：目的 探讨颅内宽颈动脉瘤(IWNA)病人采用双微导管技术治疗疗效及对病人神经功能影响。方法 采用前瞻性随机对照研究。2017年3月~2022年3月收治的IWNA病人55例,根据治疗方法分为两组,治疗组28例,采用双微导管介入治疗;对照组27例,采用支架辅助治疗。比较两组疗效、并发症发生率、术前和术后6个月NIHSS评分和ADL评分变化以及术后6个月预后情况。结果 治疗组总有效率为100.00%,对照组总有效率为96.30%,两组比较,差异无统计学意义(P>0.05)。治疗组并发症发生率(7.14%)少于对照组(33.33%),两组比较差异有统计学意义(P<0.05)。两组术后6个月NIHSS评分低于术前,而ADL评分高于术前,组内术后、术前比较,差异有统计学意义(P<0.05);治疗组术后6个月NIHSS评分[(8.76±0.87)分]低于对照组[(9.82±0.96)分],ADL评分[(57.82±5.43)分]高于对照组[(64.52±5.16)分],两组比较差异有统计学意义(P<0.05)。两组mRS评分比较,差异无统计学意义(P>0.05)。结论 双微导管技术治疗IWNA疗效较好,可降低并发症发生率,改善神经功能。Objective To explore the therapeutic effect of dual microcatheter technology on patients with intracranial wide necked aneurysms and its impact on their neurological function.Method This article adopts a prospective randomized controlled study,collect clinical data of 55 patients with intracranial wide neck aneurysms from the First People's Hospital of Suzhou City from March 2017 to March 2022.According to different treatment methods,divided treatment group 28 cases and control group 27 cases.The control group patients received stent assisted therapy,while the treatment group patients received dual microcatheter intervention therapy.Compare efficacy and complications two groups;changes in NIHSS score and ADL score before and 6 months after surgery;Postoperative prognosis at 6 months.Result The total effective rate of the treatment group was 100.00%,while the total effective rate of the control group was 96.30%;two groups of patients with intracranial wide necked aneurysms treatment efficacy no significant difference(P>0.05).The treatment group complications in patients with intracranial wide necked aneurysms(7.14%)less control group(33.33%)(P<0.05).The two groups NIHSS score of patients with intracranial wide necked aneurysms lower before surgery at 6 months after surgery,while the ADL score higher before surgery(P<0.05);the treatment group NIHSS score of patients with intracranial wide necked aneurysms(8.76±0.87)score lower control group(9.82±0.96)score after 6 months of treatment,while the ADL score(57.82±5.43)score higher control group(64.52±5.16)score(P<0.05).There was no significant difference in mRS Scores between the two groups(P>0.05).Conclusion The dual microcatheter technology has a good therapeutic effect on IWNA patients,can reduce the occurrence of complications,improve patient neurological function.

关 键 词：双微导管技术 颅内宽颈动脉瘤 疗效 神经功能 

分 类 号：R651.12[医药卫生—外科学]