摘要
目的探究LVIS密网支架辅助弹簧圈栓塞介入治疗单发颅内破裂小动脉瘤的近期疗效及对其并发症发生情况的影响。方法选取2015年3月~2019年4月在我院就诊的70例单发颅内破裂小动脉瘤患者,随机分为常规组(35例)和支架辅助组(35例),常规组予以单纯弹簧圈栓塞介入治疗,支架辅助组予以LVIS密网支架辅助弹簧圈栓塞介入治疗。观察并比较两组的围术期指标、动脉瘤闭塞程度、动脉瘤影像特征、格拉斯哥昏迷评分(GCS)及并发症发生情况。结果支架辅助组相对于常规组的住院费用无统计学差异(P>0.05),但在手术时间和住院时间上,支架辅助组明显小于常规组(P<0.05)。支架辅助组的动脉瘤致密栓塞率显著高于常规组(P<0.05)。术后,支架辅助组动脉瘤的长度、高度、动脉瘤瘤体高度与瘤颈长度之比值(AR)、动脉瘤瘤体最大瘤深与近端载瘤动脉直径之比值(SR)水平显著小于常规组(P<0.05)。支架辅助组的术后GOS评分优于常规组,且其并发症发生率为8.57%,显著低于常规组的31.43%(P<0.05)。结论LVIS密网支架辅助弹簧圈栓塞介入治疗单发颅内破裂小动脉瘤的近期疗效显著,可有效促进患者术后恢复,改善其术后动脉瘤影像特征及GOS评分,降低并发症发生率,值得推广。
Objective To explore the short-term efficacy of LVIS dense mesh stent assisted coil embolization in the treatment of single intracranial ruptured small aneurysms and its influence on the occurrence of complications.Methods 70 patients with single intracranial ruptured small aneurysms admitted to our hospital between March 2015 and April 2019 were randomly divided into the conventional group(35 cases) and the stent-assisted group(35 cases).The conventional group was treated with simple coil embolization and the stent-assisted group was treated with LVIS dense mesh stent-assisted coil embolization.The perioperative indexes,aneurysm occlusion degree,aneurysm imaging characteristics,glasgow coma score(GCS) and complications in the two groups were observed and compared.Results There was no statistical difference in hospitalization expenses between the stent-assisted group and the conventional group(P>0.05),but the stent-assisted group was significantly smaller than the conventional group in terms of operation time and hospitalization time(P<0.05).The embolization rate of aneurysm in the stent-assisted group was significantly higher than that in the conventional group(P<0.05).After operation,the length and height of the aneurysm,the ratio of the height of the aneurysm to the length of the neck(AR),and the ratio of the maximum depth of the aneurysm to the diameter of the proximal tumor-carrying artery(SR) in the stent-assisted group were significantly lower than those in the conventional group(P<0.05).The score of GOS in the stent-assisted group was better than that in the conventional group,and its complication rate was 8.57%,significantly lower than 31.43% in the conventional group(P<0.05).Conclusion LVIS dense mesh stent assisted coil embolization has significant short-term effect in the treatment of single intracranial ruptured small aneurysms.It can effectively promote postoperative recovery of patients,improve imaging features and score of GOS and reduce the incidence of complications.It is worthy of promotion.
作者
潘捷
吴高远
倪永丰
Pan Jie;Wu Gaoyuan;Ni Yongfeng(Department of Neurosurgery,Anqing First People's Hospital Anqing 246004,China)
出处
《立体定向和功能性神经外科杂志》
2019年第3期157-162,共6页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
LVIS密网支架
栓塞介入
单发颅内破裂小动脉瘤
格拉斯哥昏迷评分
并发症
LVIS dense net support
Embolization intervention
Single intracranial ruptured small aneurysm
Glasgow coma score
Complication
