本文選題：寬頸動脈瘤 + 支架輔助��； 參考：《吉林大學(xué)》2015年碩士論文

【摘要】：目的 回顧性的分析報(bào)告我院2014年29例支架輔助與11例非支架輔助顱內(nèi)寬頸動脈瘤栓塞的對比。 方法 在這次回顧性的病例分析中，寬頸動脈瘤的治療被分為2組。A組：支架治療組。B組：單純栓塞組。 結(jié)果 40個(gè)病人的40個(gè)顱內(nèi)動脈瘤被分組為如下，A組29例，B組11例。血管造影復(fù)查的時(shí)間為出院后3~6個(gè)月，在支架輔助組（A組），，動脈瘤的復(fù)發(fā)幾率明顯降低（AvsB=10.3%vs45.5%，P=0.013），出血事件的發(fā)生在數(shù)據(jù)上沒有明顯的差異（A vs B=10.3%vs9.1%，P=0.906），血栓栓塞事件的發(fā)生在數(shù)據(jù)上也沒有明顯的差異（A vs B=6.9%vs9.1%，P=0.814），患者預(yù)后情況評估使用改良Rankin量表評分在數(shù)據(jù)上也沒有明顯的差異（Avs B=0.55±0.86vs0.36±0.67，P=0.520）。 結(jié)論 1、支架輔助彈簧圈介入治療可以明顯降低顱內(nèi)寬頸動脈瘤的復(fù)發(fā)率。 2、支架輔助彈簧圈介入治療不會增加再出血事件及血栓栓塞事件的發(fā)生率，對患者的預(yù)后沒有影響。 3、支架輔助彈簧圈介入治療在顱內(nèi)寬頸動脈瘤治療中是一種有效的、安全可行的手術(shù)方式。
[Abstract]:objective
A retrospective analysis of 29 cases of stent assisted embolization in 2014 and 11 cases of non stent assisted intracranial wide necked aneurysm were reported in our hospital.
Method
In this retrospective case analysis, the treatment of wide neck aneurysms was divided into 2 groups of.A groups: the.B group in the stenting group: the simple embolism group.
Result
40 patients with 40 intracranial aneurysms were grouped as follows, 29 cases in A group, B group of 11 patients. Angiographic time after discharge for 3~6 months, in stent assisted group (A group), the risk of recurrence of aneurysm was significantly decreased (AvsB=10.3%vs45.5%, P=0.013), no significant bleeding events the differences in the data (A vs, B=10.3%vs9.1%, P=0.906), thromboembolic events in the data, there is no obvious difference (A, vs, B=6.9%vs9.1%, P=0.814) were assessed using the modified Rankin scale score in the data has no significant difference (Avs B=0.55 + 0.86vs0.36 + 0.67, P=0.520).
conclusion
1, stent assisted coiling intervention can significantly reduce the recurrence rate of intracranial wide necked aneurysm.
2, stent assisted coiling intervention does not increase the incidence of rebleeding events and thromboembolic events, and does not affect the prognosis of the patients.
3, stent assisted coiling is an effective, safe and feasible surgical approach for the treatment of intracranial wide necked aneurysms.

【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R651.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 吳中學(xué);;合理選擇腦血管病的治療方法[J];中華神經(jīng)外科雜志;2006年08期

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