[1]陈衍江,权 涛,徐浩文,等.多支架辅助弹簧圈栓塞和密网支架治疗颅内宽颈大动脉瘤效果比较[J].介入放射学杂志,2020,29(09):871-875.
 CHEN Yanjiang,QUAN Tao,XU Haowen,et al.Multi-stent assisted coil embolization versus flow diverter for the treatment of large intracranial wide-necked aneurysms: comparison of curative effects[J].journal interventional radiology,2020,29(09):871-875.
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多支架辅助弹簧圈栓塞和密网支架治疗颅内宽颈大动脉瘤效果比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年09
页码:
871-875
栏目:
神经介入
出版日期:
2020-09-25

文章信息/Info

Title:
Multi-stent assisted coil embolization versus flow diverter for the treatment of large intracranial wide-necked aneurysms: comparison of curative effects
作者:
陈衍江 权 涛 徐浩文 郭新宾 管 生
Author(s):
CHEN Yanjiang QUAN Tao XU Haowen GUO Xinbin GUAN Sheng.
Department of Neurointervention,First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 颅内动脉瘤 血管内治疗 密网支架 支架辅助弹簧圈栓塞 疗效对比
文献标志码:
A
摘要:
【摘要】 目的 比较多支架辅助弹簧圈栓塞和密网支架治疗颅内宽颈大动脉瘤的临床和影像学效果。方法 回顾性分析2012年1月至2019年1月郑州大学第一附属医院采用血管内介入术治疗的63例颅内动脉瘤患者临床资料。患者入选标准为动脉瘤直径≥10 mm、瘤颈≥4 mm或动脉瘤体颈比<2。根据植入支架类型,分为多支架辅助弹簧圈栓塞组(n=30)和密网支架组(n=33)。比较两组术后即刻和随访时血管造影结果、临床预后。结果 患者临床资料显示多支架辅助弹簧圈栓塞组破裂动脉瘤患者占比较多(P=0.047),密网支架组动脉瘤直径较大(P=0.001)。两组患者随访3~25个月,平均(11.9±5.6)个月。随访结果显示,密网支架组复发率低于多支架辅助弹簧圈栓塞组(P=0.01),但两组临床预后均良好,差异无统计学意义(P=0.223)。 结论 多支架辅助弹簧圈栓塞和密网支架均为颅内宽颈大动脉瘤的有效治疗方法。即使动脉瘤直径较大,密网支架组复发率也低于多支架辅助弹簧圈栓塞组,但仍需大样本临床研究进一步证实。

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备注/Memo

备注/Memo:
(收稿日期:2019- 09- 29)
(本文编辑:边 佶)
更新日期/Last Update: 2020-09-15