低剖面可视化腔内支撑装置与血管重建装置和传送系统治疗栓塞后交通宽颈动脉瘤的效果比较  

Comparison of the Efficacy of a Low-Profile Visualization Intraluminal Support Device versus a Vascular Reconstruction Device and Delivery System in the Treatment of Post-Embolization Communicating Wide-Necked Aneurysms

作　　者：陆泓宇 唐军 吴恩泽 Lu Hongyu;Tang Jun;Wu Enze(Department of Neurosurgery,Yancheng Funing County People's Hospital,Yancheng 224400,Jiangsu Province,China)

机构地区：[1]盐城市阜宁县人民医院神经外科,江苏盐城224400

出　　处：《中外医药研究》2025年第4期33-35,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:比较低剖面可视化腔内支撑装置(LVIS支架)与血管重建装置和传送系统(EP支架)辅助治疗栓塞后交通宽颈动脉瘤的临床效果。方法:选取盐城市阜宁县人民医院神经外科2019年8月—2023年8月收治的86例后交通宽颈动脉瘤患者为研究对象,随机分为对照组(46例)与观察组(40例)。两组均实施血管内弹簧栓塞介入治疗,对照组采用EP支架,观察组采用LVIS支架。比较两组术后栓塞程度、并发症发生率及神经功能。结果:术后即刻,两组栓塞程度对比,无统计学差异(P>0.05);术后半年,观察组栓塞程度高于对照组(P=0.037)。两组并发症总发生率对比,无统计学差异(P>0.05)。术前及术后半年,两组mRS评分对比,无统计学差异(P>0.05);术后半年,两组mRS评分低于术前(P<0.001)。结论:LVIS支架与EP支架辅助治疗后交通宽颈动脉瘤效果较好,安全性相当,患者神经功能恢复较佳,其中LVIS支架远期完全栓塞效果更好。Objective:To compare the clinical efficacy of a Low-Profile Visualization Intraluminal Support Device(LVIS stent)versus a Vascular Reconstruction Device and Delivery System(EP stent)as an adjunct in the treatment of post-embolization communicating wide-necked aneurysms.Methods:A total of 86 patients with posterior communicating wide-necked aneurysms admitted to the Department of Neurosurgery,Yancheng Funing County People's Hospital from August 2019 to August 2023 were selected as the study subjects and randomly divided into a control group(n=46)and an observation group(n=40).Both groups underwent endovascular coil embolization intervention therapy,with the control group using the EP stent and the observation group using the LVIS stent.The degree of post-operative embolization,incidence of complications,and neurological function were compared between the two groups.Results:Immediately after surgery,there was no statistically significant difference in the degree of embolization between the two groups(P>0.05).Six months post-operation,the degree of embolization in the observation group was higher than that in the control group(P=0.037).There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).There was no statistically significant difference in the mRS scores between the two groups before surgery and six months post-operation(P>0.05).Six months post-operation,the mRS scores of both groups were lower than those before surgery(P<0.001).Conclusion:The LVIS stent and EP stent are equally effective and safe in the treatment of posterior communicating wide-necked aneurysms,with better recovery of neurological function.Among them,the LVIS stent has better long-term complete embolization.

关 键 词：后交通宽颈动脉瘤 血管内弹簧栓塞介入治疗 低剖面可视化腔内支撑装置 血管重建装置和传送系统 

分 类 号：R651.12[医药卫生—外科学]