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目的分析支架辅助弹簧圈栓塞技术治疗颅内宽颈动脉瘤的疗效。方法将2013年1月~2016年3月进入我院的颅内宽颈动脉瘤患者26例作为研究对象,采用支架辅助弹簧圈栓塞技术,分析该治疗方式的临床效果。结果 26例患者的所有支架、弹簧圈植入顺利,释放位置满意,技术成功率100%。26例患者完全栓塞23例,近完全栓塞1例,不完全栓塞2例。对26例患者治疗6个月后的情况进行随访,14例治疗情况良好,10例未复查,2例放弃治疗出院。26例患者中仅出现4例并发症。26例患者中MRS得分0~2分24例(92.31%),得分6分2例(7.69%)。结论支架辅助弹簧圈栓塞技术治疗颅内宽颈动脉瘤临床效果良好,提高动脉瘤的治愈率,值得临床推广。
Objective To analyze the curative effect of stent-assisted coil embolization in the treatment of wide-necked intracranial aneurysm. Methods Twenty-six patients with wide-necked intracranial aneurysm admitted to our hospital from January 2013 to March 2016 were enrolled in this study. The stent-assisted coil embolization technique was used to analyze the clinical effect of this treatment. Results All the stents and coils of 26 patients were successfully implanted and their release sites were satisfied with a technical success rate of 100%. Twenty-six patients had complete embolism in 23 cases, nearly complete embolization in 1 case and incomplete embolization in 2 cases. 26 cases were followed up for 6 months, 14 cases were well treated, 10 cases were not reviewed and 2 cases were given up for treatment. Only 4 complications occurred in 26 patients. Among 26 patients, MRS score was 0 ~ 2 points in 24 cases (92.31%), score 6 points in 2 cases (7.69%). Conclusion The stent-assisted coil embolization has a good clinical effect in treating wide-necked intracranial aneurysms and the cure rate of aneurysms is worthy of clinical promotion.