两种不同支架辅助弹簧圈栓塞治疗颅内动脉瘤的效果对比

Comparison of Two Different Stent-assisted Coil Embolization for Intracranial Aneurysms

目的:对比两种不同支架辅助弹簧圈栓塞治疗颅内动脉瘤的效果。方法:选择2019年1月—2023年1月平度市第三人民医院收治的93例颅内动脉瘤患者作为研究对象,将其按信封法分为观察组(n=46)、对照组(n=47)。观察组采用Lvis支架辅助治疗,对照组采用Enterprise支架辅助治疗。比较两组治疗效果、并发症发生情况、神经功能、远期预后。结果:观察组栓塞总有效率为95.65%,高于对照组的74.47%,差异有统计学意义(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。治疗3个月后,观察组美国国立卫生研究院卒中量表(NIHSS)评分低于对照组,差异有统计学意义(P<0.05);出院6个月后,观察组神经功能状况优于出院时及对照组,差异有统计学意义(P<0.05)。结论:Lvis支架辅助弹簧圈栓塞治疗颅内动脉瘤的效果相对优于Enterprise支架辅助治疗,能够提高对颅内动脉瘤患者的栓塞效果,改善患者神经功能;并且手术具有安全性,且远期预后效果好。

Objective:To compare the effect of two different stent-assisted coil embolization in the treatment of intracranial aneurysm.Method:A total of 93 patients with intracranial aneurysm admitted to the Third People's Hospital of Pingdu City from January 2019 to January 2023 were selected as the study objects,and they were divided into the observation group(n=46)and the control group(n=47)according to envelope method.The observation group was treated with Lvis stent,while the control group was treated with Enterprise stent.The therapeutic effect,complications,neurological function and long term prognosis were compared between the two groups.Result:The total effective rate of embolization in the observation group was 95.65%,which was higher than 74.47%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).After 3 months of treatment,the National Institute of Health stroke scale(NIHSS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Six months after discharge,the neurological function of the observation group was better than that of the control group and at discharge,and the difference was statistically significant(P<0.05).Conclusion:The effect of Lvis stent assisted spring coil embolization in the treatment of intracranial aneurysm is relatively better than that of Enterprise stent assisted therapy,which can improve the embolization effect of intracranial aneurysm patients and improve the nerve function of patients.Moreover,the operation is safe and the long-term prognosis is good.