袁川 刘伶 朱云飞

[摘要] 目的 分析探讨支架辅助弹簧圈栓塞在颅内宽颈动脉瘤治疗中的效果。 方法 方便选取2014年7月—2017年7月期间该院收治的50例颅内宽颈动脉瘤患者，随机分成对照组与观察组，每组25例，其中观察组采用支架辅助弹簧圈栓塞方法进行治疗，对照组采用球囊辅助弹簧圈栓塞进行治疗。比较两组治疗效果及患者并发症发生情况。 结果 对照组的完全栓塞率为76.0%，而观察组的完全栓塞率为80.0%；对照组术后并发症发生率为16.0%，观察组术后并发症发生率为12.0%，两组间差异无统计学意义（P>0.05）。 结论 支架辅助弹簧圈栓塞在颅内宽颈动脉瘤治疗的过程中具有良好的疗效，且能够在临床治疗的过程中代替球囊辅助弹簧圈栓塞治疗，安全有效，值得临床推广。

[关键词] 支架辅助；弹簧圈栓塞；颅内宽颈动脉瘤；并发症

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0097-03

Efficacy and Complications of Stent-assisted Coil Embolization in Treatment of Wide-neck Intracranial Aneurysms

YUAN Chuan1， LIU Ling2， ZHU Yun-fei3

1.Department of Neurosurgery， Wenshan Peoples Hospital， Wenshan， Yunnan Province， 663000 China； 2.Medical Insurance Department， Wenshan Peoples Hospital， Wenshan， Yunnan Province， 663000 China； 3.Department of Neurosurgery， Wenshan Peoples Hospital， Wenshan， Yunnan Province， 663000 China

[Abstract] Objective This paper tries to analyze and explore the stent-assisted coil embolization in the treatment of intracranial wide-necked aneurysms. Methods 50 patients from July 2014 to July 2017 of intracranial wide necked aneurysms in this hospital were convenient selected， and were randomly divided into control group and observation group， with 25 cases in each group， the observation group was treated with stent assisted coil embolization treatment， the control group using balloon assisted coil embolization treatment. The treatment effect and complications were compared between the two groups. Results The complete embolization in the control group was 76.0%， while the total occlusion rate was 80.0% in the observation group； the incidence of complications was 16.0% in control group， the complication rate was 12.0% after operation in the observation group， there was no statistically significant difference between the two groups （P>0.05）. Conclusion Stent assisted coil embolization has good curative effect in the treatment of wide necked intracranial aneurysms， and the clinical treatment and the process of replacing balloon assisted coil embolization is safe and effective. And it is worthy of clinical promotion.

[Key words] Stent assisted； Coil embolization； Intracranial wide necked aneurysms； Complications

所謂的颅内动脉瘤，指的是患者脑动脉血管壁上出现异常膨出状况，并破裂导致患者的蛛网膜下腔出现大量出血的症状。目前，我国的医疗机构在对上述病症记性治疗的过程中，主要采用介入栓塞治疗方法进行操作。事实上，栓塞治疗方法与外科手术相比，能够降低22.6%的治疗风险。据调查研究显示该方法目前已经在国外获得了大规模的运用，并成为了颅内动脉瘤治疗的首选方法[1-2]。近年来，随着颅内动脉瘤中宽颈动脉瘤病灶体的进一步增大，介入治疗的难点进一步突出，传统的单纯弹簧圈栓塞无法适应相关的治疗状况，为此医疗技术人员借助支架辅助弹簧圈栓塞进行患者的治疗工作，并在疾病治疗的过程中具有较强的优势[3-4]。该……