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| LVIS支架辅助弹簧圈栓塞治疗颅内破裂宽颈动脉瘤的疗效 |
| Efficacy of LVIS stent-assisted coiling in treatment of ruptured wide-necked intracranial aneurysms |
| 投稿时间：2021-02-26 |
| DOI： |
| 中文关键词: LVIS支架 弹簧圈栓塞 颅内破裂宽颈动脉瘤 疗效 动脉瘤影像 |
| 英文关键词: LVIS stent Coil embolization Ruptured wide-necked intracranial aneurysm Curative effect Image of aneurysm |
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| 中文摘要: |
| 目的 探讨LVIS支架辅助弹簧圈栓塞技术治疗颅内破裂宽颈动脉瘤的效果。方法 选取徐州医科大学附属宿迁医院2017年6月至2020年6月收治的颅内破裂宽颈动脉瘤患者80例,应用随机数字表法将患者分为观察组和对照组,各40例,对照组患者利用传统弹簧圈栓塞治疗,观察组患者利用LVIS支架辅助下的弹簧圈栓塞治疗,比较两组患者术后动脉瘤CT特征,术后随访6、12个月,比较术后6个月两组治疗总有效率、并发症发生率;比较两组患者术后12个月残疾、植物生存、死亡数差异。结果 手术后,观察组最大瘤体瘤深与近端载瘤动脉直径的比值(SR)、瘤体垂直高度与瘤颈宽度的比值(AR)及瘤体高度及长度明显低于对照组(P＜0.05);术后6个月,观察组患者治疗总有效率(92.5%)明显高于对照组(66.7%)(P＜0.05);观察组存活患者术后并发症总发生率(12.5%)低于对照组(33.3%)(P＜0.05);术后12个月,与对照组相比,观察组术后患者恢复良好例数更高(P＜0.05),术后残疾人数显著更低(P＜0.05),观察组植物生存、死亡例数低于对照组,但组间差异无统计学意义(P＞0.05)。结论 以LVIS支架辅助弹簧圈栓塞技术治疗颅内破裂宽颈动脉瘤患者时,可提高患者治疗效果,且具有并发症发生率低、预后较好等优点。 |
| 英文摘要: |
| Objective To investigate the effect of LVIS stent-assisted coil embolization in the treatment of ruptured wide-necked intracranial aneurysms.Methods Eighty patients with rupturedwide-necked intracranial aneurysms admitted to Suqian Hospital Affiliated to Xuzhou Medical University from June 2017 to June 2020 were selected and divided intoobservation group and control groupwith the application of random number table, with 40 cases in each group. Thecontrol groupreceived traditional spring coil embolization, while theobservation group was applied LVIS stent-assisted coil embolization. The CT characteristics of aneurysms after operation were compared between the two groups. The total effective rate and incidence of complications were compared between the two groups 6 months and 12 months after operation. The differences in disability, plant survival and death were compared between the two groups 12 months after operation.Results After operation the ratio of the maximum tumor depth to the proximal parent artery diameter (SR), the ratio of the vertical height of the tumor to the width of the tumor neck (AR), the height and length of the tumor in the observation group were significantly lower than those in the control group (P<0.05). Six months after operation, the total effective rate of the observation group (92.5%) was significantly higher than that of the control group (66.7%) (P<0.05). The total incidence of postoperative complications in the observation group (12.5%) was lower than that in the control group (33.3%) (P<0.05). 12 months after operation, compared with the control group, the number of patients with good recovery after operation in the observation group was larger (P<0.05), and the number of disabled patients after operation was significantly smaller (P<0.05). The number of plant survival and death cases in the observation group were smallerthan those in the control group, but there was no significant difference between the two groups (P>0.05).Conclusions LVIS stent-assisted coil embolization in the treatment of ruptured wide-necked intracranial aneurysms can improve the treatment effectwith the advantages of low complication rate and good prognosis. |
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