首页|支架辅助弹簧圈栓塞治疗基底动脉顶端动脉瘤的临床效果及对预后情况的影响

支架辅助弹簧圈栓塞治疗基底动脉顶端动脉瘤的临床效果及对预后情况的影响

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目的:探究支架辅助弹簧圈栓塞治疗基底动脉顶端动脉瘤(basilar tip aneurysms,BTA)的临床效果及对预后情况的影响。方法:回顾性选取 2019 年 4 月—2023 年 4 月南通大学附属如皋医院收治的 88 例BTA患者。根据手术方案的不同将其分为A组(n=44)与B组(n=44)。A组给予弹簧圈栓塞治疗,B组给予支架辅助弹簧圈栓塞治疗。比较两组栓塞效果,入院时、出院时、出院后 6 个月预后情况,术前 1 d及术后 6 个月生活质量,并发症。结果:B组动脉瘤总闭塞率为 95。45%,高于A组的 79。55%,差异有统计学意义(P<0。05)。出院后 6 个月,B组格拉斯哥预后评分(Glasgow outcome scale,GOS)评分高于A组,改良Rankin量表(modified Rankin scale,mRS)评分低于A组,差异有统计学意义(P<0。05)。术后 6 个月,B组活力、身体疼痛、生理功能、健康评分均高于A组,差异有统计学意义(P<0。05)。两组并发症发生率比较,差异无统计学意义(P>0。05)。结论:支架辅助弹簧圈栓塞治疗BTA,效果更佳,可改善预后,提高生活质量,安全性良好,应结合瘤体情况科学选择术式。
Clinical Efficacy and Impact on Prognosis of Stent Assisted Spring Coil Embolization in the Treatment of Basilar Tip Aneurysms
Objective:To explore the clinical efficacy and impact on prognosis of stent assisted spring coil embolization in the treatment of basilar tip aneurysms(BTA).Method:A total of 88 BTA patients admitted to Nantong University Affiliated Rugao Hospital from April 2019 to April 2023 were retrospectively selected.The patients were divided into group A(n=44)and group B(n=44)according to different surgical plans.Group A was given embolization with spring coil and group B was given stent assisted embolization with spring coil.The embolization effects,the prognosis at admission,discharge,and 6 months after discharge,quality of life 1 d before surgery and 6 months after surgery,and complications were compared between the two groups.Result:The total aneurysm occlusion rate in group B was 95.45%,which was higher than 79.55%in group A,and the difference was statistically significant(P<0.05).Six months after discharge,the Glasgow outcome scale(GOS)score in group B was higher than that in group A,and the modified Rankin scale(mRS)score was lower than that in group A,the differences were statistically significant(P<0.05).Six months after surgery,the vitality,physical pain,physiological function,and health scores of Group B were higher than those of Group A,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Stent assisted spring coil embolization for BTA has better effect,can improve the prognosis,enhance the quality of life,and has good safety.The operation should be scientifically selected according to the tumor condition.

Basilar tip aneurysmsIntravascular intervention embolizationStent assistedSpring coil

任俊、周妙兵、肖红波、张鹏

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南通大学附属如皋医院(如皋市人民医院)江苏 如皋 226500

基底动脉顶端动脉瘤 血管内介入栓塞 支架辅助 弹簧圈

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)