探讨LVIS支架与弹簧圈栓塞治疗颅内破裂动脉瘤的治疗疗效

Exploring the therapeutic effect of LVIS stent and coil embolization in the treatment of intracranial ruptured aneurysms

目的:分析LVIS支架与弹簧圈栓塞在颅内破裂动脉瘤应用效果。方法:回顾分析2020年6月-2022年12月我院收治的颅内破裂动脉瘤患者82例临床资料。弹簧圈栓塞治疗为传统弹簧圈栓塞组,LVIS支架技术下的弹簧圈栓塞治疗为LVIS支架组,对比两组患者的临床治疗效果。结果:LVIS支架组RS评分低于传统弹簧圈栓塞组(P<0.05);Raymond评分1级发生率高于传统弹簧圈栓塞组(P<0.05);手术后LVIS支架组患者的SR、AR、高度和长度特征明显低于传统弹簧圈栓塞组(P<0.05);LVIS支架组并发症发生率为12.5%低于传统弹簧圈栓塞组32.5%(P<0.05)。结论:应用LVIS支架对颅内破裂动脉瘤患者治疗的过程中,安全有效,能促进患者术后快速恢复。

Objective:Analysis of the application effect of LVIS stent and coil embolization in intracranial ruptured aneurysms.Methods:The clinIAl data of 82 patients with ruptured intracranial aneurysms admitted to our hospital from June 2020 to December 2022 were retrospectively analyzed.The traditional coil embolization group was used for coil embolization,and the LVIS stent group was used for coil embolization under LVIS stent technology.The clinIAl treatment effect,aneurysm packing,postoperative aneurysm impact characteristics,and complIAtions of the two groups of patients were compared.Results:RS score of LVIS stent group was lower than that of traditional coil embolization group(P<0.05);Raymond's level 1 occlusion rate was higher than the traditional coil embolization group(P<0.05);After operation,the SR,AR,height and length of patients in LVIS stent group were signifIAntly lower than those in traditional coil embolization group(P<0.05);The incidence of complications in the LVIS stent group was 12.5%,which was lower than that in the traditional coil embolization group at 32.5%(P<0.05).Conclusion:The application of LVIS stent in the treatment of ruptured intracranial aneurysms is a safe and effective process that promotes rapid postoperative recovery in patients..