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.
作者
崔铉默
CUI Xuanmo(Department of lnterventional therapy, Anshan Central Hospital, Ansan 114001, Liaoning, China)
出处
《贵州医科大学学报》
CAS
2016年第11期1350-1352,1357,共4页
Journal of Guizhou Medical University
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
intracranial aneurysm
radiology,interventional
embolization
self-expanding stent
micro-coil