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目的对血管内介入治疗技术治疗颅内宽颈动脉瘤的临床效果进行分析探究。方法 54例颅内宽颈动脉瘤患者根据不同时期采用的不同方法将其分为三组,各18例,第1组患者采用球囊辅助可脱弹簧圈栓塞治疗,第2组患者采用血管内支架结合弹簧圈栓塞治疗,第3组采用单纯应用支架置入治疗,对比三组患者的复发情况及并发症的发生情况。结果单纯应用支架置入组患者的并发症发生率(0)及血管内支架结合弹簧圈栓塞组患者的并发症发生率(0)明显低于球囊辅助可脱弹簧圈栓塞组患者的并发症发生率(11.11%),差异有统计学意义(P<0.05)。血管内支架结合弹簧圈栓塞组患者的术后复发率(0)明显低于球囊辅助可脱弹簧圈栓塞组(11.11%)及单纯应用支架置入组(11.11%),差异有统计学意义(P<0.05)。结论血管内支架结合弹簧圈栓塞治疗效果明显优于球囊辅助可脱弹簧圈栓塞及单纯应用支架置入治疗,且安全可靠,值得推广应用。
Objective To analyze the clinical effects of endovascular interventional therapy in treatment of wide-necked intracranial aneurysm. Methods Fifty-four patients with wide-necked intracranial aneurysm were divided into three groups according to the different methods adopted in different periods, 18 cases in each group. The patients in group 1 received balloon-assisted depolarization coil embolization. The patients in group 2 received intravascular Stent combined with coil embolization, the third group using a simple stent implantation, compared the recurrence of three groups of patients and the incidence of complications. Results The incidence of complications (0) and complications (0) in patients undergoing stenting alone were significantly lower than those in patients undergoing balloon-assisted revolver embolization (11.11%), the difference was statistically significant (P <0.05). The postoperative recurrence rate (0) in the stent group and the coil embolization group was significantly lower than those in the balloon-assisted coil group (11.11%) and the stent group alone (11.11%), the difference was statistically significant (P <0.05). Conclusions The treatment of endovascular stent combined with coil embolization is obviously superior to the balloon-assisted detachable coil embolization and simple stent placement, which is safe and reliable. It is worth to be popularized and applied.