CAJ | 학술논문

目的探讨可膨胀水凝胶弹簧圈( Hydrocoil)在颅内动脉瘤急性破裂期栓塞中的应用价值.方法应用Hydrocoil栓塞急性破裂期15例17个颅内动脉瘤,并选择同期应用裸性铂金弹簧圈栓塞的18例颅内动脉瘤进行对比分析.结果经x2检验.结果 Hydrocoil栓塞的17个动脉瘤,致密栓塞16个、大部栓塞1个.裸性铂金弹簧圈栓塞的18例动脉瘤,致密栓塞11例、大部栓塞7例.两者疗效差异有统计学意义(x2=5.402,P＜0.05).患者术后6个月至1.5年内DSA检查,应用Hydrocoil栓塞的患者无复发；应用裸性铂金弹簧圈栓塞的患者动脉瘤复发5例.两者复发率差异有统计学意义(x2 =5.510,P＜0.05).结论 Hydrocoil可提高颅内动脉瘤的致密栓塞程度,并降低颅内动脉瘤栓塞术后的复发率.
목적 탐토가팽창수응효탄황권( Hydrocoil)재로내동맥류급성파렬기전새중적응용개치.방법 응용Hydrocoil전새급성파렬기15례17개로내동맥류,병선택동기응용라성박금탄황권전새적18례로내동맥류진행대비분석.결과경x2검험.결과 Hydrocoil전새적17개동맥류,치밀전새16개、대부전새1개.라성박금탄황권전새적18례동맥류,치밀전새11례、대부전새7례.량자료효차이유통계학의의(x2=5.402,P＜0.05).환자술후6개월지1.5년내DSA검사,응용Hydrocoil전새적환자무복발；응용라성박금탄황권전새적환자동맥류복발5례.량자복발솔차이유통계학의의(x2 =5.510,P＜0.05).결론 Hydrocoil가제고로내동맥류적치밀전새정도,병강저로내동맥류전새술후적복발솔.
Objective To study the application of endovascular treatment of the acute ruptured intracranial aneurysms with the hydrocoil. Methods Fifteen patients ( treatment group ) with 17 acute ruptured intracranial aneurysms were treated with the hydrocoils.In the same period,18 patients (control group) with acute ruptured intracranial aneurysms were treated with the bare platinum coil.Results In treatment group,16 aneurysms received dease embolization,and one aneutysm had subtotal embolization.In control group,11 aneurysms achieved dense embolization,7 aneurysms had subtotal embolization.There was a significant difference between the two groups ( x2 =5.402,P ＜ 0.05 ). After follow-up by DSA from 6 months to 1.5 years,no recurrence was showed in the treatment group,while recurrence occurred in 5 cases in the control group aneurysm,with a significant difference between the two groups ( x2 =5.510,P ＜0.05 ).Conclusion The hydrocoil is an effective therapy for the endovascular treatment of intracranial aneurysms with improving the packing density of intracranial aneurysm embolization and reducing the recurrence rate.