单纯弹簧圈栓塞与支架辅助弹簧圈栓塞介入治疗颅内动脉瘤的对比研究

Comparative Study of Interventional Treatment of Intracranial Aneurysm with Simple Coil Embolization and Stent Assisted Spring Coil Embolization

目的:探讨单纯弹簧圈栓塞与支架辅助弹簧圈栓塞介入治疗颅内动脉瘤的效果。方法:选取2019年1月~2021年1月收治的介入治疗颅内肿瘤患者80例,随机分为观察组与对照组。对照组患者接受单纯弹簧圈栓塞介入治疗,观察组患者接受支架辅助弹簧圈栓塞介入治疗。记录两组患者的ADL生活能力评分、综合治疗效果,并比较不良反应发生情况。结果:ADL评分比较显示单项维度以及总分比较,观察组患者得分均高于对照组患者(P<0.05)。观察组患者治疗总有效率为85.00%,高于对照组患者治疗总有效率40.00%(P<0.05)。对所有患者进行至少7d随访,两组患者治疗后不良反应发生率差异并无统计学意义(P>0.05)。结论:支架辅助弹簧圈栓塞介入治疗颅内动脉瘤可以在改善综合治疗效果,提升术后患者生活能力的同时,进一步降低不良反应的发生风险,提高安全性,具有一定临床应用价值。

Objective:To compare the effect of simple coil embolization and stent assisted coil embolization in the treatment of intracranial aneurysms.Methods:80 patients with intracranial tumor treated by interventional therapy from January 2019 to January 2021 were selected and randomly divided into observation group and control group.Patients in the control group were treated with simple coil embolization,while patients in the observation group were treated with stent assisted coil embolization.The ADL life ability score,comprehensive treatment effect and adverse reactions of the two groups were recorded.Results:ADL scores showed that the scores of the observation group were higher than those of the control group(P<0.05).The total effective rate of the observation group was 85.00%,which was higher than 40.00%of the control group(P<0.05).All patients were followed up for at least 7 days.There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Stent assisted coil embolization in the treatment of intracranial aneurysms can improve the comprehensive treatment effect,enhance the life ability of patients after operation,further reduce the risk of adverse reactions and improve the safety.It has certain clinical application value.