不同类型支架辅助弹簧圈栓塞宽颈动脉瘤的效果分析

Effect of enterprise,solitaire and LVIS stent assisted coil embolization on wide necked aneurysms and its impact on recurrence rate

目的对比不同类型支架辅助弹簧圈栓塞宽颈动脉瘤的临床效果与复发情况。方法 63例患者被纳入本次研究,均实施支架辅助弹簧圈栓塞宽颈动脉瘤治疗,其中Solitaire支架治疗21例,Enterprise支架治疗20例,Lvis支架治疗21例。比较治疗效果、并发症及复发情况。结果 63例患者均顺利完成手术治疗,经术后即刻造影,不同类型支架治疗的动脉瘤栓塞结果比较差异无统计学意义(P>0.05)。Solitaire支架、Enterprise支架各发生并发症1例,Lvis支架未出现并发症,不同支架治疗的并发症发生率差异无统计学意义(P<0.05)。Lvis的金属覆盖率稍优于Solitare支架与Enterprise支架,但金属覆盖率比较差异有统计学意义(P<0.05)。经术后随访与检查,63例患者未出现死亡,均获得随访,均出现复发现象,但复发率比较差异无统计学意义(P>0.05)。结论 Enterprise、Solitaire及Lvis支架辅助弹簧圈栓塞宽颈动脉瘤效果确切,治疗过程中可以结合不同支架的特点进行合理的选择,以达到最佳效果。

Objective To compare and analyze the clinical effects and recurrence of different types of stent assisted coils for embolization of wide necked aneurysms. Methods 63 patients were included in this study. The data was collected from February 2014 to May 2017. Stent assisted coil embolization was used to treat wide necked aneurysms,of which 21 cases were treated with Solitaire stent and 20 cases with Enterprise stent, 21 cases were treated with I.V1S stent. The treatment effects, complications and recurrence were compared and compared. Results All the 63 patients underwent the operation successfully. There was no significant difference in the embolization results of the aneurysms treated by different stent types （P〉0.05）. There were 1 stcnts and Enterprise stents in each group,and there were no complications in the LVIS stent. There was no significant difference in the and dence of complications between the different stent treatment （P〉0. 05）. Lvis metal coverage is slightly better than that of solitare stent and enterprise stent,but each metal coverage rate had no significant difference （P〈0.05）. During the postoperative followup, none of the 63 cases died. Three groups all had recurrences, but each recurrence rate had no significant difference（P 〉0.05 ）. Conclusion Enterprise,solitaire and LVIS stent assisted coil embolization for wide necked aneurysms are effective,the treatment process can be combined with the characteristics of different support of reasonable selection, in order to achieve the best results.