| 李浩然,牛士贞,陈剑.支架辅助弹簧圈栓塞治疗颅内动脉瘤临床分析[J].济宁医学院学报,2017,40(3):214-217 |
| 支架辅助弹簧圈栓塞治疗颅内动脉瘤临床分析 |
| The clinical analysis of stent assisted coil embolization of intracranial aneurysm |
| 投稿时间：2017-04-20 |
| DOI：10.3969/j.issn.1000-9760.2017.03.015 |
| 中文关键词: 介入治疗;动脉瘤;支架;弹簧圈 |
| 英文关键词: Intravascular interventional treatment;Intracranial aneurysms;Stent;Spring coil |
| 基金项目: |
| 作者 | 单位 | E-mail | | 李浩然 | 济宁医学院, 济宁 272067 | | | 牛士贞 | 济宁医学院临床医学院, 济宁 272067 | 702028843@qq.com | | 陈剑 | 汕头大学医学院附属医院, 汕头 515041 | |
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| 中文摘要: |
| 目的 观察支架辅助弹簧圈栓塞治疗颅内动脉瘤的安全性和有效性。方法 回顾性分析2013年9月至2014年12月山东省济宁市第一人民医院神经外科收治的34例颅动脉瘤患者的临床资料、影像学资料及随访资料。34例共42枚动脉瘤，均应用支架辅助弹簧圈栓塞，观察动脉瘤的栓塞程度、并发症、预后及复发比率。结果 1）42枚动脉瘤均成功栓塞，其中致密栓塞35枚，瘤颈残余5枚，部分栓塞2枚；2）围手术期并发症5例，其中术中破裂出血1例，术中血栓形成1例，术后偏瘫1例，跑圈1例，支架移位1例；3）经过3~24个月的随访以及DSA复查，复发4例，复发率为9.5%；患者3个月后mRS评分，0分31例，1分2例，2分1例，3~6分0例。结论 支架辅助弹簧圈栓塞颅内动脉瘤相对安全有效，即刻栓塞程度高，围手术期并发症发生较少，且复发少预后较好。 |
| 英文摘要: |
| Objective To observe the safety and availability of stent assisted coil embolization of intracranial aneurysm.Methods A retrospective analysis was made by collecting clinical materials of 42 intracranial aneurysms endovascular patients who are in the First Hospital of Jining from 2013 to 2014.42 cases of embolization of intracranial aneurysm by using stent assisted coil to observe the degree of immediate embolization,perioperative complication and recurrence.Results 1)All aneurysms were embolized successfully.2)There were 5 cases of perioperative complication,including intraoperative rupture hemorrhage (1 case),intraoperative thrombosis (1 case),postoperative hemiplegia (1 case),run laps (1 case),displacement of stent (1 case).3)After 3 to 24 months follow-up both by DSA review including 4 cases recurrence the rate of recurrence was 9.5%.And the mRS grades after 3 months follow-up:0 (32cases),1 (2cases),2 (1cases),and 3~6 (0cases).Conclusion Stent assisted coil embolization of intracranial aneurysm is safe and effective,which is less neurological complications and less recurrence. |
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