Citation: | NIU Yanguo, WANG Xian. Effect of stent-assisted coil intracranial embolization in patients with ruptured intracranial aneurysms[J]. Journal of Clinical Medicine in Practice, 2023, 27(22): 123-126. DOI: 10.7619/jcmp.20232143 |
To investigate the effect of stent-assisted coil intracranial embolization in patients with ruptured intracranial aneurysms.
A total of 110 patients with ruptured intracranial aneurysm were selected as the study objects. The patients were divided into control group (pure embolization with spring coil, n=55) and study group (stent-assisted embolization with spring coil, n=55) according to the stent assisted method. The operation status, length of hospital stay, nerve function, serum myelin basic protein (MBP) level, clinical efficacy and cerebrospinal fluid inflammatory factor level were compared between the two groups.
After surgery, the levels of nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) in the two groups were significantly higher than those before surgery, and those in the study group were significantly higher than those in the control group (P < 0.05). After operation, the levels of serum MBP and cerebrospinal fluid interleukin-4 (IL-4), tumor necrosis factor-α (TNF-α) and interleukin-8 (IL-8) in two groups were significantly higher than those before operation, and those in the study group were significantly lower than those in the control group (P < 0.05). The total effective rate of the study group was 96.36%, which was significantly higher than 83.64% of the control group (P < 0.05).
Stent assisted coil intracranial embolization has a good effect in patients with ruptured intracranial aneurysm, which can improve the nerve function of patients, reduce the level of cerebrospinal fluid inflammation and serum MBP.
[1] |
陈振, 张松, 晋亚洲, 等. 支架辅助弹簧圈栓塞与单纯弹簧圈栓塞治疗颅内破裂动脉瘤疗效的对比分析[J]. 中华神经外科杂志, 2020, 36(1): 38-43. https://www.cnki.com.cn/Article/CJFDTOTAL-HNSJ202311006.htm
|
[2] |
卢万俊, 韩长鸣, 高峰, 等. 支架辅助栓塞治疗小型颅内宽颈动脉瘤的安全性及有效性[J]. 实用临床医药杂志, 2021, 25(22): 82-86. doi: 10.7619/jcmp.20212008
|
[3] |
江志贤, 黄佳欣, 张晋宁, 等. 多支架重叠辅助弹簧圈栓塞治疗颈内动脉破裂血泡样动脉瘤: 38例回顾性病例系列研究[J]. 国际脑血管病杂志, 2020, 28(7): 516-521. https://www.cnki.com.cn/Article/CJFDTOTAL-ZCYO202123022.htm
|
[4] |
潘捷, 吴高远, 倪永丰. 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其并发症发生情况的研究[J]. 立体定向和功能性神经外科杂志, 2019, 32(3): 157-162. https://www.cnki.com.cn/Article/CJFDTOTAL-NENG201903007.htm
|
[5] |
黄蔚文, 赵岳峰. 血管内介入栓塞术治疗前循环破裂颅内动脉瘤临床疗效及预后危险因素分析[J]. 陕西医学杂志, 2020, 49(4): 446-449, 457. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYZ202004015.htm
|
[6] |
苏优勒, 张占普, 窦长武, 等. 血管内介入栓塞与开颅手术夹闭治疗破裂颅内动脉瘤的疗效及安全性比较[J]. 疑难病杂志, 2019, 18(5): 455-458, 463. https://www.cnki.com.cn/Article/CJFDTOTAL-YNBZ201905006.htm
|
[7] |
武中成, 曲国辉, 徐鹏, 等. 支架辅助弹簧圈栓塞术在颅内复杂动脉瘤治疗中的应用[J]. 中国冶金工业医学杂志, 2018, 35(2): 232-233. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYJ201802093.htm
|
[8] |
中华医学会神经外科学分会神经介入学组. 颅内动脉瘤血管内介入治疗中国专家共识(2013)[J]. 中华医学杂志, 2013, 93(39): 3093-3103. https://www.cnki.com.cn/Article/CJFDTOTAL-NXGB201311012.htm
|
[9] |
KIMURA A, TANAKA N. Reverse shock index multiplied by Glasgow Coma Scale score (rSIG) is a simple measure with high discriminant ability for mortality risk in trauma patients: an analysis of the Japan Trauma Data Bank[J]. Crit Care, 2018, 22(1): 87.
|
[10] |
ETMINAN N, CHANG H S, HACKENBERG K, et al. Worldwide incidence of aneurysmal subarachnoid hemorrhage according to region, time period, blood pressure, and smoking prevalence in the population: a systematic review and meta-analysis[J]. JAMA Neurol, 2019, 76(5): 588-597.
|
[11] |
田向阳, 张岭, 孙来广, 等. 开颅手术与血管内栓塞对颅内后循环动脉瘤患者的疗效及颅脑损伤因子的影响[J]. 中国医药科学, 2019, 9(14): 14-18. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX201914007.htm
|
[12] |
康平, 苏龙, 马改平, 等. 支架辅助弹簧圈栓塞术与单纯弹簧圈栓塞术治疗颅内破裂动脉瘤患者的效果比较及对术后出血事件的影响[J]. 临床医学研究与实践, 2022, 7(2): 12-15, 69. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS202202004.htm
|
[13] |
王辉, 何安邦, 刘珍, 等. 支架辅助栓塞技术治疗颅内动脉瘤的临床观察[J]. 中国医刊, 2018, 53(7): 801-805. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI201807031.htm
|
[14] |
傅西安, 钱苏荣, 王剑刃, 等. 支架辅助弹簧圈栓塞颅内破裂动脉瘤并发症[J]. 昆明医科大学学报, 2018, 39(1): 50-54. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX201801010.htm
|
[15] |
冷俊峰, 于小华, 郜宪礼, 等. 急诊支架辅助弹簧圈栓塞颅内破裂宽颈动脉瘤的疗效分析[J]. 心脑血管病防治, 2021, 21(1): 82-83, 86. https://www.cnki.com.cn/Article/CJFDTOTAL-XXFZ202101019.htm
|
[16] |
唐少舟, 王成鸿, 邓勇, 等. 脑膜瘤患者手术前后血清ETS-1、MMP-1及MBP水平变化及其临床意义[J]. 湖南师范大学学报: 医学版, 2019, 16(4): 80-83. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYG201904027.htm
|
[17] |
WASIK N, SOKÓŁB, HOŁYSZ M, et al. Serum myelin basic protein as a marker of brain injury in aneurysmal subarachnoid haemorrhage[J]. Acta Neurochir, 2020, 162(3): 545-552.
|
[18] |
叶海泉, 黄文超. Lvis支架辅助弹簧圈血管内栓塞治疗颅内破裂动脉瘤的临床效果和安全性[J]. 中国医学物理学杂志, 2020, 37(7): 898-902. https://www.cnki.com.cn/Article/CJFDTOTAL-YXWZ202007019.htm
|
[19] |
王玉莉, 胡红旗, 郭东才, 等. 腰大池引流速度对颅内动脉瘤性蛛网膜下腔出血患者炎症相关标记物的影响[J]. 广东医学, 2020, 41(1): 77-81. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX202001017.htm
|
[20] |
马修尧, 任超, 刘彬, 等. 比较Lvis支架辅助弹簧圈和Solitaire支架辅助弹簧圈栓塞治疗颅内破裂宽颈动脉瘤的安全性和有效性[J]. 中华全科医学, 2018, 16(8): 1247-1249, 1348. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201808007.htm
|