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探讨支架辅助弹簧圈栓塞在颅内大型或巨大型颅内动脉瘤治疗中的效果.[方法]回顾性研究本院收治的65例颅内大型或巨大型动脉瘤患者临床资料,根据治疗方法的不同将其分为观察组(支架辅助弹簧圈栓塞,n=36)和对照组(单纯弹簧圈栓塞,n=29).比较两组术后栓塞程度,预后情况及术中并发症发生情况.[结果]观察组术后即刻栓塞程度Ⅰ级为61.11%,优于对照组的34.48%,差异有统计学意义(Z=-2.212,P=0.0270.05).应用Fisher检验分析,观察组术中动脉瘤再破裂,弹簧圈移位、脱出、解旋,动脉瘤缺血事件和脑血管痉挛发生率与对照组比较,差异无统计学意义(P>0.05).[结论]支架辅助弹簧圈栓塞在颅内大型或巨大型颅内动脉瘤治疗中有较好的临床效果,安全性较好,值得临床推广应用.“,”Toinvestigatetheeffectofstent-assistedcoilembolizationinthetreatmentoflarge orgiantintracranialaneurysms.[Methods]Theclinicaldataof65patientswithlargeorgiantintracranialaneu-rysmstreatedinourhospitalwereretrospectivelystudied.Theyweredividedintoobservationgroup(stent-as-sistedcoilembolization,n=36)andcontrolgroup (simplecoilembolization,n=29).Thedegreeofembol-ism,prognosisandintraoperativecomplicationswerecomparedbetweenthetwogroups.[Results]Thedegree ofimmediateembolizationintheobservationgroupwas61.11%,whichwasbetterthan34.48%inthecontrol group (Z=2.212,P=0.0270.05).Fishertestanalysisshowedthattherewasnosignificant differenceinaneurysmre-rupture,coildisplacement,detachmentandrotation,aneurysmischemiaandcere-bralvasospasmbetweentheobservationgroupandthecontrolgroup (P>0.05).[Conclusion]Stent-assisted coilembolizationhasgoodclinicaleffectandsafetyinthetreatmentoflargeorgiantintracranialaneurysms, whichisworthyofclinicalapplication.