摘要
目的:分析介入微弹簧圈栓塞术治疗颅内动脉瘤的临床效果。方法:选取2017年1月-2019年9月本院收治的颅内动脉瘤患者115例,对其进行介入微弹簧圈栓塞术,观察并对比患者栓塞的临床效果,栓塞程度,术前及术后1、7 d的WBC、CRP情况,及并发症情况。结果:115例患者,完全栓塞86例,次全栓塞26例,不完全栓塞3例。动脉瘤<4.0 mm患者的完全栓塞率最高,且<4.0 mm患者与≥4.0 mm患者栓塞效果对比,差异有统计学意义(P<0.05)。所有患者术后WBC、CRP水平均优于术前,差异均有统计学意义(P<0.05)。115例患者中,5例出现术中动脉瘤破裂,1例出现对比剂外溢,1例出现一过性血压升高,接受手术治疗后1个月内,2例患者死亡。结论:颅内动脉瘤患者进行介入微弹簧圈栓塞术具有创伤小、并发症较少、治疗后恢复速度较快等优点,值得临床推广使用。
Objective:To analyze the clinical efficacy of interventional micro coil embolization in the treatment of intracranial aneurysms.Method:A total of 115 patients with intracranial aneurysms treated in our hospital from January 2017 to September 2019 were selected and given interventional micro coil embolization,and the clinical effect,the degree of embolization,the levels of WBC and CRP before operation and 1 and 7 d after operation,the complications of two groups were observed and compared.Result:115 patients,86 cases of complete embolism,26 cases of subtotal embolization,3 cases of incomplete embolism,patients with aneurysms<4.0 mm had the highest complete embolization rate,and the difference between<4.0 mm patients and≥4.0 mm patients in the embolization effect was statistically significant(P<0.05).After treatment,The levels of WBC and CRP of all patients after operation were significantly better than those of before operation(P<0.05).Among 115 patients,5 patients had aneurysm rupture,1 patient had contrast agent overflow,1 patient had transient hypertension and 2 patients died 1 month after operation.Conclusion:Interventional micro coil embolization for intracranial aneurysms has the advantages of less trauma,fewer complications and faster recovery after treatment,it is worthy of clinical application.
作者
刘欣民
张清平
宋伟健
魏强国
LIU Xinmin;ZHANG Qingping;SONG Weijian;WEI Qiangguo(Huazhong University of Science and Technology Union Shenzhen Hospital,Shenzhen 518052,China;不详)
出处
《中国医学创新》
CAS
2021年第12期146-150,共5页
Medical Innovation of China
基金
深圳市南山区科技计划项目(南科研卫2012038号)。
关键词
微弹簧圈栓塞术
颅内动脉瘤
介入
Micro coil embolization
Intracranial aneurysm
Intervention
作者简介
通信作者:刘欣民。
