LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的效果观察

张兴业; 贺延莉

doi:10.7619/jcmp.201919004

LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的效果观察

Effect of LVIS stent-assisted spring-ring embolism treatment in patients with intracranial wide cervical aneurysm

摘要

摘要:
目的观察LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的效果。
方法将130例颅内宽颈动脉瘤患者分为对照组与观察组, 每组65例。对照组接受弹簧圈栓塞手术治疗，观察组接受LVIS支架辅助弹簧圈栓塞治疗。比较2组临床疗效以及随访6个月时的再发责任血管卒中事件发生率、复发率。
结果观察组栓塞有效率为98.46%, 显著高于对照组92.30%(P < 0.05)。术后随访6个月，观察组预后良好率、复发率均显著优于对照组(P < 0.05)。对照组有3例出现再发责任血管卒中事件，而观察组未发生此类事件, 2组比较有显著差异(P < 0.05)。
结论 LVIS支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤疗效确切，可以提高栓塞成功率，降低复发率。

Abstract:
Objective To observe effect of LVIS stent-assisted spring-ring embolism treatment in patients with intracranial wide cervical aneurysm.
Methods A total of 130 patients with intracranial wide cervical aneurysms were divided into control group and observation group, with 65 cases in each group. The control group received spring-ring embolism treatment, while the observation group received LVIS stent-assisted spring-ring embolism treatment. The clinical effect of the two groups was compared, and the recurrence rate and incidence rate of recurrent responsible vascular stroke at 6 months of follow-up were compared as well.
Results The effective rate of embolization in observation group was 98.46%, which was significantly higher than 92.30% in control group (P < 0.05). After 6 months of follow-up, the rate of good prognosis and recurrence rate of disease in the observation group were significantly better than those in the control group (P < 0.05). There were 3 cases of recurrent responsible vascular stroke in the control group, but no such event was observed in the observation group. There was a significant difference between the two groups (P < 0.05).
Conclusion LVIS stent-assisted spring-ring embolism treatment is effective in treating patients with intracranial wide cervical aneurysms, which can increase the success rate of embolism and reduce the recurrence rate.>
Objective To observe effect of LVIS stent-assisted spring-ring embolism treatment in patients with intracranial wide cervical aneurysm.
Methods A total of 130 patients with intracranial wide cervical aneurysms were divided into control group and observation group, with 65 cases in each group. The control group received spring-ring embolism treatment, while the observation group received LVIS stent-assisted spring-ring embolism treatment. The clinical effect of the two groups was compared, and the recurrence rate and incidence rate of recurrent responsible vascular stroke at 6 months of follow-up were compared as well.
Results The effective rate of embolization in observation group was 98.46%, which was significantly higher than 92.30% in control group (P < 0.05). After 6 months of follow-up, the rate of good prognosis and recurrence rate of disease in the observation group were significantly better than those in the control group (P < 0.05). There were 3 cases of recurrent responsible vascular stroke in the control group, but no such event was observed in the observation group. There was a significant difference between the two groups (P < 0.05).
Conclusion LVIS stent-assisted spring-ring embolism treatment is effective in treating patients with intracranial wide cervical aneurysms, which can increase the success rate of embolism and reduce the recurrence rate.

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