支架辅助弹簧圈拴塞术治疗颅内动脉瘤临床研究

目的探讨新型颅内支架Solitaire辅助弹簧圈拴塞术治疗颅内动脉瘤的临床价值。方法选取2012年5月—2013年4月该院收治的颅内动脉瘤患者37例为治疗组,采用Solitaire支架辅助弹簧圈拴塞术治疗,另选之前采用传统开颅动脉瘤夹闭术治疗的30例颅内动脉瘤患者为对照组。对比两组手术前后的影像学评价和出院时的格拉斯哥(GCS)评分。结果两组手术均获成功。①按Paymond标准,治疗组术后完全栓塞率显著高于对照组(P<0.05);瘤颈残留率、不完全栓塞率低于对照组(P<0.05)。②治疗组术后并发症发生率显著低于对照组(P<0.05);GCS评分平均(5.12±1.03)分显著高于对照组GCS评分平均(3.84±1.17)分(P<0.05)。结论 Solitaire支架辅助弹簧圈拴塞术是治疗宽颈或相对宽颈颅内动脉瘤的安全有效方案,优于传统开颅动脉瘤夹闭术治疗。

Clinical Studies of Stent-assisted coil Embolization in Treatment of Intracranial Aneurysm

Objective Investigate the clinical value of new intracranial stent Solitaire assisted coil embolization in treatment of intracranial aneurysm. Methods Select our hospital 37 patients from May 2012 to April 2013 with intracranial aneurysms as the treatment group, treating with Solitaire stent-assisted coil embolization.Another select the traditional craniotomy aneurysm clipping treatment of 30 cases as control group.Contrast imaging evaluation in two groups before and after surgery and discharge Glasgow （GCS） score. Results Two groups of operation had been successful.1）According to the standard of Paymond,treatment group was significantly higher than that of control group with complete occlusion rate（P0.05）;The rate of residual aneurysm neck, incomplete embolization was lower than the control group（P0.05）.2）Incidence of postoperative complications of treatment group was significantly lower than the control group（P0.05）;GCS score points average（5.12±1.03）was significantly higher than that the control group was（3.84±1.17）（P0.05）.Conclusion Solitaire stent-assisted coil embolization is a safe and effective regimen for the treatment of wide-necked or relative wide-necked intracranial aneurysms, is superior to the traditional craniotomy and aneurysm clipping treatment.