当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
28期
33-35
,共3页
陈加源%邓志锋%程光森%许卫国%李记华%彭秀斌
陳加源%鄧誌鋒%程光森%許衛國%李記華%彭秀斌
진가원%산지봉%정광삼%허위국%리기화%팽수빈
脑动脉瘤%水凝胶弹簧圈%铂金弹簧圈%血管内栓塞
腦動脈瘤%水凝膠彈簧圈%鉑金彈簧圈%血管內栓塞
뇌동맥류%수응효탄황권%박금탄황권%혈관내전새
Cerebral aneurysm%Hydrocoil%Platinum coils%Endovascular embolization
目的评价Hydrocoil联合铂金弹簧圈栓塞治疗脑动脉瘤的疗效及并发症。方法回顾性分析分析2007年1月-2010年12月经血管内弹簧圈栓塞治疗的脑动脉瘤患者51例。其中Hydrocoil组25例：使用水凝胶弹簧圈（Hydrocoil）联合铂金弹簧圈栓塞治疗；铂金弹簧圈组26例：仅使用铂金弹簧圈栓塞治疗。结果(1)Hydrocoil组与铂金弹簧圈组动脉瘤致密栓塞率比较，差异无统计学意义（P＞0.05）；(2)Hydrocoil组手术并发症的发生率与铂金弹簧圈组比较，差异无统计学意义（15.0%～15.3%，P＞0.05）；(3)Hydrocoil组的动脉瘤复发率6.7%低于铂金弹簧圈组的复发率21.4%，但由于样本量不足，差异无统计学意义（P＞0.05）。结论 Hydrocoil联合铂金弹簧圈治疗脑动脉瘤安全、有效，其并发症发生率与铂金弹簧圈组相似。
目的評價Hydrocoil聯閤鉑金彈簧圈栓塞治療腦動脈瘤的療效及併髮癥。方法迴顧性分析分析2007年1月-2010年12月經血管內彈簧圈栓塞治療的腦動脈瘤患者51例。其中Hydrocoil組25例：使用水凝膠彈簧圈（Hydrocoil）聯閤鉑金彈簧圈栓塞治療；鉑金彈簧圈組26例：僅使用鉑金彈簧圈栓塞治療。結果(1)Hydrocoil組與鉑金彈簧圈組動脈瘤緻密栓塞率比較，差異無統計學意義（P＞0.05）；(2)Hydrocoil組手術併髮癥的髮生率與鉑金彈簧圈組比較，差異無統計學意義（15.0%～15.3%，P＞0.05）；(3)Hydrocoil組的動脈瘤複髮率6.7%低于鉑金彈簧圈組的複髮率21.4%，但由于樣本量不足，差異無統計學意義（P＞0.05）。結論 Hydrocoil聯閤鉑金彈簧圈治療腦動脈瘤安全、有效，其併髮癥髮生率與鉑金彈簧圈組相似。
목적평개Hydrocoil연합박금탄황권전새치료뇌동맥류적료효급병발증。방법회고성분석분석2007년1월-2010년12월경혈관내탄황권전새치료적뇌동맥류환자51례。기중Hydrocoil조25례：사용수응효탄황권（Hydrocoil）연합박금탄황권전새치료；박금탄황권조26례：부사용박금탄황권전새치료。결과(1)Hydrocoil조여박금탄황권조동맥류치밀전새솔비교，차이무통계학의의（P＞0.05）；(2)Hydrocoil조수술병발증적발생솔여박금탄황권조비교，차이무통계학의의（15.0%～15.3%，P＞0.05）；(3)Hydrocoil조적동맥류복발솔6.7%저우박금탄황권조적복발솔21.4%，단유우양본량불족，차이무통계학의의（P＞0.05）。결론 Hydrocoil연합박금탄황권치료뇌동맥류안전、유효，기병발증발생솔여박금탄황권조상사。
Objective To retrospectively compare and analysis the 51 cerebral aneurysms’ clinical data with endovascular embolization treatment, to evaluate the efifcacy of cerebral aneurysms treated with hydrocoils in combination with platinum coils. Methods Retrospective analysis was performed of 51 cerebral aneurysms treated with endovascular coil occlusion in our hospital from January 2007 to December 2010. 25 aneurysms (Hydrocoil group) embolized using Hydrocoil in combination with platinum coils were compared with 26 volume-shape-matched aneurysms (platinum coils group) treated only with platinum coils.Results (1) The patients’ demographics and the aneurysms’ characteristics between the two group were comparable (P>0.05). No signiifcant difference was found between the complete obliteration of Hydrocoil group and platinum group (76%versus 53.8%,P>0.05). (2) Hydrocoil group had a similar complication rates with platinum group (15.0%versus 15.3%,P>0.05). (3) There was no statistically signiifcant comparing the recurrence rate of Hydrocoil group and platinum group (6.7%versus 21.4%), because of insufifcient sample. Conclusion Endovascular embolization of cerebral aneurysms with hydrocoil combined platinum coils is safe and feasible.Similar complication rates were found in both endovascular treatment of cerebral aneurysms.
