LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的效果观察

Effect of LVIS stent-assisted spring-ring embolism treatment in patients with intracranial wide cervical aneurysm

目的观察LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的效果。方法将130例颅内宽颈动脉瘤患者分为对照组与观察组,每组65例。对照组接受弹簧圈栓塞手术治疗,观察组接受LVIS支架辅助弹簧圈栓塞治疗。比较2组临床疗效以及随访6个月时的再发责任血管卒中事件发生率、复发率。结果观察组栓塞有效率为98.46%,显著高于对照组92.30%(P<0.05)。术后随访6个月,观察组预后良好率、复发率均显著优于对照组(P<0.05)。对照组有3例出现再发责任血管卒中事件,而观察组未发生此类事件,2组比较有显著差异(P<0.05)。结论LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤疗效确切,可以提高栓塞成功率,降低复发率。

Objective To observe effect of LVIS stent-assisted spring-ring embolism treatment in patients with intracranial wide cervical aneurysm.Methods A total of 130 patients with intracranial wide cervical aneurysms were divided into control group and observation group,with 65 cases in each group.The control group received spring-ring embolism treatment,while the observation group received LVIS stent-assisted spring-ring embolism treatment.The clinical effect of the two groups was compared,and the recurrence rate and incidence rate of recurrent responsible vascular stroke at 6 months of follow-up were compared as well.Results The effective rate of embolization in observation group was 98.46%,which was significantly higher than 92.30%in control group(P<0.05).After 6 months of follow-up,the rate of good prognosis and recurrence rate of disease in the observation group were significantly better than those in the control group(P<0.05).There were 3 cases of recurrent responsible vascular stroke in the control group,but no such event was observed in the observation group.There was a significant difference between the two groups(P<0.05).Conclusion LVIS stent-assisted spring-ring embolism treatment is effective in treating patients with intracranial wide cervical aneurysms,which can increase the success rate of embolism and reduce the recurrence rate.