支架辅助弹簧圈栓塞颅内多发宽颈动脉瘤临床效果分析

Stent-assisted microcoils in endovascular embolization of multiple wide-necked intracranial aneurysms

目的探讨颅内多发宽颈动脉瘤的手术方法、支架选择及围手术期处理。方法支架辅助弹簧圈栓塞17例多发宽颈动脉瘤患者,共34个动脉瘤,与同期采用开颅夹闭术18例多发动脉瘤患者,共夹闭36个动脉瘤,平均住院日、瘤颈残余率及术中、术后并发症对比。结果全部动脉瘤均致密或近致密栓塞,与采用夹闭术患者瘤颈残余率无明显差别。术中及术后并发症少于开颅夹闭患者,平均住院日低于开颅夹闭患者。结论支架辅助弹簧圈栓塞动脉瘤是治疗颅内多发宽颈动脉瘤的一种安全有效的方法,较开颅动脉瘤夹闭术,可减轻手术创伤,降低并发症的发生,缩短住院时间。

Objective To study the surgery of the muhiple intracranial wide - necked aneurysms, stent selection and perioper- ative management. Methods Stent assisted coil embolization was performed in 17 patients with multiple wide neck aneurysm, including a total of 34 aneurysms. Average length of stay, neck residual rate and intraoperative and postoperative complications were com- pared with these in the same period 18 patients with multiple aneurysms, of which 36 were clipped. Results All aneurysms were. densely or almost densely embolized, with no significant difference in aneurysm neck residual rate from clipping surgery patients. Intra- operative and postoperative complications, and average length of stay were less than in craniotomy clipping patients. Conclusion Sent - assisted coil embolization of aneurysms is a safe and effective method for the treatment of multiple intracrania[ wide - necked aneurysms, which reduces surgical trauma and complications, and shortens hospital stay