目的：探讨支架辅助技术治疗急性期破裂宽颈动脉瘤的临床疗效。方法回顾性分析30例支架辅助微弹簧圈治疗急性期破裂宽颈动脉瘤的临床资料作为病例组，并选择进行传统的开颅手术治疗的动脉瘤患者30例作为对照组，比较两组的临床疗效，对两组患者进行随访并对并发症发生率进行统计分析。结果病例组患者术后的完全栓塞率高于对照组，差异有统计学意义（P＜0．05），瘤颈残留率、不完全栓塞率以及栓塞失败率均小于对照组，差异有统计学意义（P＜0．05）；术后1年随访的两组患者，病例组并发症发生率低于对照组，差异有统计学意义（P＜0．05）。结论支架辅助技术治疗急性期破裂宽颈动脉瘤的方法效果明显，安全性较高、恢复较快、并发症少。%Objective To investigate the treatment of stent-assisted clinical efficacy of acute ruptured wide-necked aneurysms .Methods A retrospective analysis of 30 cases of stent-assisted coil micro-clinical data wide-necked aneurysms rupture of the acute phase and a 1∶1 case-control study of patients selected for traditional craniot-omy aneurysm surgery in 30 cases ,two groups were compared The clinical efficacy of the two groups of patients were followed up and the incidence of complications analyzed for statistical analysis .Results Postoperative thrombosis in patients with complete case group was higher (P<0 .05) ,the residual rate of aneurysm neck ,incomplete thrombosis and embolism failure rates were less than the control group(P<0 .05);after a two-year follow-up group of patients , the incidence of complications in case group than the control group (P<0 .05) .Conclusion The effect of stent assis-ted technique for acute ruptured wide-necked aneurysms is obvious ,higher security ,faster recovery ,and fewer compli-cations .
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