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目的 探讨和总结应用血管内支架结合弹簧圈技术治疗颅内宽颈动脉瘤的技术。方法 回顾性分析 16例颅内宽颈动脉瘤 ,瘤颈 /瘤体比为 0 5～ 1∶1,均采用血管内支架结合弹簧圈技术治疗。结果 16例血管内支架结合弹簧圈技术治疗的动脉瘤 ,12例完全栓塞 ,4例大部 (>95 % )栓塞。有 7例随访 6个月～ 1年 ,有 1例出现动脉瘤复发。 1例术后出现一过性脑缺血的表现。结论 在栓塞宽颈颅内动脉瘤时应用血管内支架结合弹簧圈技术 ,可避免弹簧圈突入载瘤动脉 ,提高了宽颈颅内动脉瘤的疗效
Objective To explore and summarize the technique of using endovascular stent combined with coil spring to treat intracranial wide neck aneurysm. Methods A retrospective analysis of 16 cases of intracranial wide-necked aneurysms, tumor neck / tumor ratio of 0 5 ~ 1: 1, were treated with endovascular stent coil spring technology. Results A total of 16 aneurysms were treated with endovascular stents combined with coil spring technique. Twelve patients were completely embolized and 4 patients were mostly embolized (> 95%). 7 cases were followed up for 6 months to 1 year, 1 case of aneurysm recurrence. One case had transient cerebral ischemia after operation. Conclusion In the embolization of wide-necked intracranial aneurysms with endovascular stents combined with coil technology can prevent the coil into the parent artery to improve the curative effect of wide-necked intracranial aneurysms