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

张兴业¹,
贺延莉^2,

1.
神经外科
2.
放射科, 陕西西安, 710038

详细信息

通讯作者:
贺延莉

中图分类号: R651.1
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出版历程
- 收稿日期: 2019-08-10
- 录用日期: 2019-09-20
- 网络出版日期: 2021-02-28
- 发布日期: 2019-10-14

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

ZHANG Xingye¹,
HE Yanli^2,

1.
Department of Neurosurgery
2.
Department of Radiology, Tangdu Hospital of Air Force Military Medical University, Xi′an, Shaanxi, 710038

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。
- 颅内宽颈动脉瘤 /
- LVIS支架 /
- 弹簧圈栓塞术 /
- 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.
- intracranial wide cervical aneurysm /
- LVIS stent /
- spring-ring embolism /
- recurrence rate

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图 1 术前DSA示颈内动脉C6眼段宽颈动脉瘤

下载: 全尺寸图片幻灯片

图 2 LVIS支架辅助弹簧圈栓塞术中情况(1)

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图 3 LVIS支架辅助弹簧圈栓塞术中情况(2)

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图 4 LVIS支架辅助弹簧圈栓塞术后造影

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表 1 2组栓塞效果比较[n(%)]

组别	n	完全栓塞	近全栓塞	部分栓塞	总有效
对照组	65	56(86.15)	4(6.15)	5(7.69)	60(92.30)
观察组	65	62(95.38)	2(3.08)	1(1.53)	64(98.46)^*
与对照组比较, *P < 0.05。

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表 2 2组并发症及再发责任血管卒中事件比较[n(%)]

不良事件	对照组(n=65)	观察组(n=65)
动脉瘤再破裂	1(1.54)	1(1.54)
弹簧圈不固定	1(1.54)	1(1.54)
脑血管痉挛及栓塞	2(3.08)	1(1.54)
再发责任血管卒中事件	3(4.62)	0^*
与对照组比较, *P < 0.05。

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