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目的分析水凝胶弹簧圈及复杂形弹簧圈栓塞治疗颅内动脉瘤的安全性和致密程度。方法水凝胶弹簧圈及复杂形弹簧圈栓塞治疗颅内动脉瘤16例,首先用复杂形弹簧圈成篮,然后用水凝胶弹簧圈进行篮内填塞,最后再用裸圈进行瘤体及瘤颈的致密填塞。结果13个动脉瘤获得致密填塞,3个动脉瘤有瘤颈残留。栓塞密度38%～90%(平均63%)。随访时间2个月～6个月,未发生破裂出血或脑缺血事件。结论水凝胶弹簧圈及复杂形弹簧圈栓塞作为新一代弹簧圈其在颅内动脉瘤治疗中的应用是安全、有效的,可显著提高栓塞的致密程度,长期确切的疗效有待于进一步的经验累及和随访。
Objective To analyze the safety and density of intracranial aneurysms treated with hydrogel coils and complex coils. Methods 16 cases of intracranial aneurysm were treated with hydrogel coil and complex coil spring embolization. First, complex basket was used to form the basket, then hydrogel coil was used to fill the basket. Finally, Tight packing of the neck. Results Thirteen aneurysms were densely packed, and three aneurysms had residual tumor. Embolism density of 38% to 90% (average of 63%). Follow-up time of 2 months to 6 months, no rupture of bleeding or cerebral ischemia occurred. Conclusion Hydrogel and complex coil embolization as a new generation of coil in the treatment of intracranial aneurysms is safe and effective, can significantly improve the degree of embolization of the dense, long-term exact effect needs further experience Involvement and follow-up.