不同类型支架辅助栓塞治疗颅内动脉瘤的临床效果和安全性分析

Analysis on the Clinical Effects and Safety of Different Types of Stent-Assisted Embolization in the Treatment of Intracranial Aneurysms

目的 探讨不同类型支架辅助栓塞治疗颅内动脉瘤的效果和安全性。方法 82例颅内动脉瘤患者随机分为两组各41例,对照组予以SolitareAB支架辅助栓塞,观察组予以LIVS/LVISjr支架辅助栓塞,比较两组的即刻栓塞效果、并发症及预后。结果 观察组的即刻栓塞效果显著优于对照组,并发症发生率显著低于对照组(P<0.05)。术后3个月,观察组的Rankin评分显著低于对照组,ADL评分显著高于对照组(P<0.05)。结论 与SolitareAB支架相比,LIVS/LVISjr支架辅助栓塞治疗颅内动脉瘤患者的效果更佳,可使动脉瘤快速闭塞,减少并发症。

Objective To explore the clinical effects and safety of different types of stent-assisted embolization in the treatment of intracranial aneurysms. Methods 82 patients with intracranial aneurysms were randomly divided into two groups, with 41 cases in each group. The control group received SolitareAB stent-assisted embolization, and the observation group received LIVS/LVISjr stent-assisted embolization. The immediate embolization effects, complications and prognosis of the two groups were compared. Results The immediate embolization effect of the observation group was significantly better than that of the control group, and the incidence of complications was significantly lower than that of the control group(P <0.05). At 3 months after surgery, the Rankin score of the observation group was significantly lower than that of the control group, and the ADL score was significantly higher than that of the control group(P <0.05).Conclusions Compared with the SolidareAB stent, LIVS/LVISjr stent-assisted embolization has better effect in the treatment of patients with intracranial aneurysms, which can quickly occlude the aneurysm, and reduce complications.