【摘要】 目的:通过对比分析207例Neuroform支架或球囊辅助弹簧圈栓塞的颅内宽颈动脉瘤,为临床选用Neuroform支架或球囊辅助弹簧圈栓塞颅内宽颈动脉瘤提供参考。方法:207例颅内宽颈动脉瘤中,129例采用Neuroform支架辅助弹簧圈栓塞,78例采用球囊辅助弹簧圈栓塞。术后3个月～5年进行改良Rankin量表评分。术后6～12个月复查脑血管造影。结果:Neuroform支架辅助组、球囊辅助组的预后良好率分别为:77.2%(98/129)、78.2%(61/78)。两组病例治疗效果差异无统计学意义(P>0.05)。结论:Neuroform支架或球囊辅助弹簧圈栓塞是治疗颅内宽颈动脉瘤的有效方法,两种方法各有优缺点,应根据宽颈动脉瘤的具体情况予以选择。更多还原

【Abstract】 Objective:To compare and analyze 207 intracranial wide-necked aneurysms by Neuroform stent or balloon assisted coil embolization so as to provide references in the clinic.Methods:Of the 207 patients with wide-necked aneurysms,129 were treated by Neuroform stent-assisted coil embolization,78 were treated by balloon-assisted coil emboliztion.The prognosis of the patients was evaluated with the modified Rankin scale 3 months to 5 years after the procedure,and the patients were reexamined by cerebral angiography 6 to 12 months after the procedure.Results:The good prognosis in the Neuroform stent-assisted group and balloon-assisted group were 77.2%(98/129) and 78.2%(61/78),respectively.There was no statistical difference between the two groups(P>0.05).Conclusion:Neuroform stent or balloon-assisted coil embolization are the effective methods in the treatment of intracranial wide-necked aneurysms,one of them should be chosen according to their advantages and disadvantages respectively.更多还原