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目的观察支架辅助弹簧圈栓塞颅内动脉瘤的疗效。方法回顾性分析26例患者共30个颅内动脉瘤的临床资料。采用不同类型支架30个,其中自膨胀支架29个,裸支架1个。结果动脉瘤栓塞结果按Raymond分级:完全栓塞8个(26.7%);次全栓塞20个(66.7%);不全栓塞2个(6.6%)。未发生明显技术相关并发症。出院时改良Rankin量表(mRS)评分0～2分23例,3～4分2例,5分1例。影像学随访动脉瘤不显影14例,改善5例,稳定9例,复发2例。结论支架辅助弹簧圈栓塞颅内动脉瘤可以取得理想的治疗效果,降低复发率。
Objective To observe the effect of stent-assisted coil embolization of intracranial aneurysm. Methods A retrospective analysis of 26 patients with a total of 30 intracranial aneurysms clinical data. The use of different types of stent 30, of which 29 self-expanding stent, bare stent 1. Results The results of the aneurysm embolization were graded according to Raymond: totally embolization of 8 (26.7%); subtotal embolization of 20 (66.7%); incomplete embolization of 2 (6.6%). No obvious technology related complications occurred. At discharge, the modified Rankin Scale (mRS) score was 0 to 2 in 23, 3 to 4 in 2, and 1 in 5. Imaging follow-up aneurysm was not developed in 14 cases, improved in 5 cases, stable in 9 cases, 2 cases of recurrence. Conclusion Stent assisted coil embolization of intracranial aneurysms can achieve the desired therapeutic effect and reduce the recurrence rate.