CAJ | 학술논문

目的：探讨应用Solitaire支架结合弹簧圈治疗颅内宽颈动脉瘤的安全性与有效性。方法：回顾性分析Solitaire支架结合弹簧圈治疗的8例颅内宽颈动脉瘤患者的临床资料。结果：本组8例，所有患者术中支架均顺利到位，放置满意，术中无操作相关并发症发生。术后获随访6～24个月（平均12．9个月），随访期间患者无一例死亡，无再出血及栓塞等症状。术后6个月按GOS评分评定远期生活质量，患者恢复良好率或轻残率为87．5％（7/8）。术后1 a复查血管造影结果显示，所有患者载瘤动脉及毗邻的血管均保持通畅，无支架或弹簧圈移位发生；7例患者动脉瘤完全闭塞；1例患者动脉瘤残留或复发。影像学治愈率87．5％（7/8）。结论：血管内Solitaire支架植入结合弹簧圈治疗颅内宽颈动脉瘤是一种安全、有效的治疗手段。
목적：탐토응용Solitaire지가결합탄황권치료로내관경동맥류적안전성여유효성。방법：회고성분석Solitaire지가결합탄황권치료적8례로내관경동맥류환자적림상자료。결과：본조8례，소유환자술중지가균순리도위，방치만의，술중무조작상관병발증발생。술후획수방6～24개월（평균12．9개월），수방기간환자무일례사망，무재출혈급전새등증상。술후6개월안GOS평분평정원기생활질량，환자회복량호솔혹경잔솔위87．5％（7/8）。술후1 a복사혈관조영결과현시，소유환자재류동맥급비린적혈관균보지통창，무지가혹탄황권이위발생；7례환자동맥류완전폐새；1례환자동맥류잔류혹복발。영상학치유솔87．5％（7/8）。결론：혈관내Solitaire지가식입결합탄황권치료로내관경동맥류시일충안전、유효적치료수단。
Objective:To explore the safety and efficacy of Solitaire stent -assisted coiling of intracra-nial wide-necked aneurysms .Methods:8 patients with wide-necked intracranial aneurysms were treated with the Solitaire stent-assisted coiling .The clinical data of Solitaire stent application were evaluated retrospective-ly.Results:The Solitaire stent system was delivered and deployed accurately in eight cases without procedure -related complications.Patients were followed up for 6 to 24 months (mean 12.9 months), there were no deaths and no further bleeding and other symptoms of embolism during the follow -up.The long-term quality of life in patients was assessed by GOS score 6 months after surgery , and mild disability or good recovery rate was 87.5%(7/8).1 year after surgery angiography showed that parent arteries and adjacent blood vessels of all pa -tients were kept unblocked without shift of stent and coil .Seven patients underwent completely occlusion of the aneurysm;one patient was diagnosed as residual or recurrent of aneurysm .Imaging cure rate was 87.5%(7/8) .Conclusions:The Solitaire stent -assisted coiling is a safe and effective technique in the treatment of in-tracranial wide-necked aneurysms .