颅内破裂动脉瘤单纯弹簧圈填塞与支架辅助弹簧圈填塞比较分析

A Comparative Analysis of Stent-Assisted Coiling Versus Coiling Alone in Ruptured Intracranial Aneurysms

目的回顾性分析413颅内破裂动脉瘤患者单纯弹簧圈填塞与支架辅助弹簧圈填塞中期效果.方法413颅内破裂动脉瘤患者,其中单纯弹簧圈填塞219例,支架辅助弹簧圈填塞194例,术后即时及术后3月返院行全脑血管造影检查,Raymond分级计数、统计分析.结果术后3月,单纯弹簧圈填塞组及支架辅助弹簧圈填塞组,瘤颈残留及部分栓塞比例均较术后即时造影时降低,支架辅助弹簧圈填塞组瘤颈残留1.03%,部分栓塞2.58%,较单纯弹簧圈填塞组瘤颈残留2.28%,部分栓塞14.16%降低更明显,P<0.05,差异有统计学意义.结论术后3月造影随访,支架辅助弹簧圈栓塞瘤颈残留及部分栓塞比例低于单纯弹簧圈填塞组.

Objective A retrospective analysis of medium-term effect of coiling alone versus stent-assisted coiling on 413 patients with ruptured intracranial aneurysms. Me thod 413 patients with ruptured intracranial aneurysms, which include 219 coiling alone cases and 194 stent-assisted coiling cases, return to hospital for digital subtraction angiography,Raymond count classification, statistical analysis immediately postoperative and 3 months postoperative. Re s ult After 3 months, the proportion of embolization and the aneurysm neck residual in both groups are reduced compared with those in immediately postoperative angiography. Stent-assisted coiling group was more significantly reduced than coiling alone group（P 〈0.05）, and the difference was statistically significant.Conclus ions In the follow-up study after 3 months of surgery, the proportion of embolization and the aneurysm neck residual of stent-assisted coiling group was lower that of the coiling alone group.