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.%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.
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