摘要
目的:比较辅助技术下弹簧圈栓塞与支架植入弹簧圈栓塞对颅内动脉瘤的影响。方法:回顾性选取2015年1月-2019年2月中信惠州医院神经外科收治的97例颅内动脉瘤患者为研究对象。根据手术方法的不同将其分为A组(n=41)和B组(n=56)。A组给予辅助技术下弹簧圈栓塞治疗,B组给予支架植入弹簧圈栓塞治疗。比较两组术后即刻、术后1年栓塞情况,术后1年栓塞程度、复发率、死亡率、预后情况,并发症。分析两组典型影像图。结果:术后即刻两组Raymond分级比较差异无统计学意义(P>0.05)。术后1年,两组Raymond分级、完全栓塞率、次全栓塞率、部分栓塞率比较差异均无统计学意义(P>0.05)。术后1年,A组脑梗死发生率明显低于B组(P<0.05)。术后1年,两组复发率及死亡率比较差异均无统计学意义(P>0.05)。术后1年,A组0级占比(51.22%)高于B组(28.85%)(P<0.05)。结论:相较于支架植入弹簧圈栓塞,辅助技术下弹簧圈栓塞可降低颅内动脉瘤患者并发症发生率,改善患者远期改良Rankin评分量表(m RS)评分,优化患者预后。
Objective: To compare the effect of spring coil embolization treatment under auxiliary technology and bracket implantation spring coil embolization on intracranial aneurysms. Method: A total of 97 patients with intracranial aneurysms admitted to the Neurosurgery Department of China International Trust & Investment Corporation Huizhou Hospital from January 2015 to February 2019 were selected retrospectively as the study subjects. According to different surgical methods, they were divided into group A(n=41)and group B(n=56). Group A was treated with spring coil embolization under auxiliary technology, and group B was treated with bracket implantation spring coil embolization. The embolization status immediately and 1 year after operation, embolization degree, recurrence rate, mortality, prognosis condition 1 year after operation and complications were compared between the two groups. The typical image pictures of the two groups were analyzed. Result: There was no significant difference in Raymond grading between the two groups immediately after operation(P>0.05). One year after operation, there were no significant differences between the two groups in Raymond grading, complete embolism rate, sub total embolism rate and partial embolism rate(P>0.05). One year after operation, the incidences of cerebral infarction in group A was significantly lower than that in group B(P<0.05). One year after operation, there were no significant differences in the recurrence rate and mortality between the two groups(P>0.05). One year after operation, the proportion of grade 0 in group A(51.22%) was higher than that in group B(28.85%)(P<0.05). Conclusion: Compared with bracket implantation spring coil embolization, spring coil embolization under auxiliary technology can reduce the incidence of complications in patients with intracranial aneurysms, improve the long-term modified Rankin scale(mRS) score of patients, and optimize the prognosis of patients.
作者
蔡文黎
梁伟
王会男
高银亮
彭超
CAI Wenli;LIANG Wei;WANG Huinan;GAO Yinliang;PENG Chao(China International Trust&Investment Corporation Huizhou Hospital,Huizhou 516006,China;不详)
出处
《中外医学研究》
2023年第1期10-14,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
颅内动脉瘤
弹簧圈栓塞
支架
Intracranial aneurysm
Spring coil embolization
Stent
