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【目的】评估 Solitaire AB 支架在辅助栓塞颅内宽颈动脉瘤中的临床应用价值。【方法】回顾性分析中国人民武装警察总医院2010年1月至2013年10月应用 Solitaire AB 支架治疗的86例(91枚)颅内宽颈动脉瘤患者的临床资料。患者术后随访6个月到2年,根据 Raymond 分级、改良 Rankin 评分、DSA 检查评价颅内动脉瘤影像学及临床结果。【结果】86例患者91枚动脉瘤中致密栓塞49枚(53.8%),瘤颈残余27枚(29.7%),部分栓塞15枚(16.4%)。栓塞术后复查 DSA、MRA 或 CTA 检查显示,48枚(55.1%)动脉瘤栓塞情况稳定,32枚(36.7%)动脉瘤内有进一步血栓形成,7枚(8.0%)动脉瘤可见动脉瘤内再通。3例患者发生术中动脉瘤破裂出血,1例患者发生脑血管痉挛。术后3个月改良 Rankin 评分0~2分恢复良好者为77例(93.9%),3~6分者5例(6.1%),4例失访。【结论】Solitaire AB 支架辅助栓塞颅内宽颈动脉瘤安全有效,可提高致密栓塞率,患者并发症发生率低,其具有较高的临床使用价值。“,”Objective]To evaluate the clinical value of Solitaire AB stent in facilitating thrombosis intracranial wide-necked aneurysms.[Methods]A retrospective analysis from January 2010 to October 2013,our hospital applied Solitaire AB stents to treat 86 cases of 92 wide-necked intracranial aneurysms,with the post operation follow up of 6 months to 2 years.Raymond classification,the modified Rankin scoring,and DSA were used to inspect and evaluate the intracranial aneurysms imaging and the clinical outcomes.[Results]Among the 86 cases of patients,49 of 91 dense embolization of the aneurysms were treated,with the success rate of 53.8%,there were 27 cases of residual neck aneurysms (29.7%), and there were 15 cases of partial embolization (16.4%).The examination of DSA,MRA,and CTA after the emboliza-tion operation has showed that 48 (55.1%)of the aneurysm embolization were in stable condition,thrombosis continues to form within 32 (36.7%)aneurysms,and recanalization could be seen in 7 (8.0%)aneurysms.Three patients devel-oped intraoperative aneurysm rupture,and one patient had cerebral vasospasm.After three months,according to mRS (modified Rankin Score),77 cases (93.9%)recovered well in score of 0~2,and 5 patients (6.1%)have score of 3~6, with no further contact from 4 patients.[Conclusion]Solitaire AB stent in facilitating thrombosis intracranial wide-necked aneurysms is both safe and effective.Itcan improve the dense embolism rate,reduce the complication rate and has high clinical values.