支架辅助弹簧圈栓塞治疗基底动脉顶端动脉瘤的临床效果及对预后情况的影响  

Clinical Efficacy and Impact on Prognosis of Stent Assisted Spring Coil Embolization in the Treatment of Basilar Tip Aneurysms

作　　者：任俊 周妙兵 肖红波 张鹏[1] REN Jun;ZHOU Miaobing;XIAO Hongbo;ZHANG Peng(Nantong University Affiliated Rugao Hospital,Rugao 226500,China;不详)

机构地区：[1]南通大学附属如皋医院(如皋市人民医院),江苏如皋226500

出　　处：《中外医学研究》2024年第35期74-78,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：江苏省卫生健康委科研项目(Z2023090);如皋市科技局指导性项目【SRG(21)1059】。

摘　　要：目的:探究支架辅助弹簧圈栓塞治疗基底动脉顶端动脉瘤(basilar tip aneurysms,BTA)的临床效果及对预后情况的影响。方法:回顾性选取2019年4月—2023年4月南通大学附属如皋医院收治的88例BTA患者。根据手术方案的不同将其分为A组(n=44)与B组(n=44)。A组给予弹簧圈栓塞治疗,B组给予支架辅助弹簧圈栓塞治疗。比较两组栓塞效果,入院时、出院时、出院后6个月预后情况,术前1 d及术后6个月生活质量,并发症。结果:B组动脉瘤总闭塞率为95.45%,高于A组的79.55%,差异有统计学意义(P<0.05)。出院后6个月,B组格拉斯哥预后评分(Glasgow outcome scale,GOS)评分高于A组,改良Rankin量表(modified Rankin scale,mRS)评分低于A组,差异有统计学意义(P<0.05)。术后6个月,B组活力、身体疼痛、生理功能、健康评分均高于A组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:支架辅助弹簧圈栓塞治疗BTA,效果更佳,可改善预后,提高生活质量,安全性良好,应结合瘤体情况科学选择术式。Objective:To explore the clinical efficacy and impact on prognosis of stent assisted spring coil embolization in the treatment of basilar tip aneurysms(BTA).Method:A total of 88 BTA patients admitted to Nantong University Affiliated Rugao Hospital from April 2019 to April 2023 were retrospectively selected.The patients were divided into group A(n=44)and group B(n=44)according to different surgical plans.Group A was given embolization with spring coil and group B was given stent assisted embolization with spring coil.The embolization effects,the prognosis at admission,discharge,and 6 months after discharge,quality of life 1 d before surgery and 6 months after surgery,and complications were compared between the two groups.Result:The total aneurysm occlusion rate in group B was 95.45%,which was higher than 79.55%in group A,and the difference was statistically significant(P<0.05).Six months after discharge,the Glasgow outcome scale(GOS)score in group B was higher than that in group A,and the modified Rankin scale(mRS)score was lower than that in group A,the differences were statistically significant(P<0.05).Six months after surgery,the vitality,physical pain,physiological function,and health scores of Group B were higher than those of Group A,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Stent assisted spring coil embolization for BTA has better effect,can improve the prognosis,enhance the quality of life,and has good safety.The operation should be scientifically selected according to the tumor condition.

关 键 词：基底动脉顶端动脉瘤 血管内介入栓塞 支架辅助 弹簧圈 

分 类 号：R47[医药卫生—护理学]