血管内栓塞治疗在颅内动脉瘤并发脑梗死患者中的临床效果

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (474 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the clinical effect of intravascular embolization in the treatment of intracranial aneurysm complicated with cerebral infarction. Methods A total of 70 patients with intracranial aneurysm complicated with cerebral infarction admitted to Affiliated Central Hospital of Shenyang Medical College from June 2018 to June 2021 were selected as the research objects. They were divided into control group and experimental group according to random number table method, with 35 cases in each group. The control group was treated with intracranial aneurysm clipping under microscope, and the experimental group was treated with intravascular embolization. The clinical effects of the two groups were compared. Results The total effective rate and the excellent and good rate of Alberta stroke program early CT (ASPECT score) in the experimental group were higher than those in the control group, the differences were statistically significant (P<0.05). After operation, the total incidence of new cerebral infarction foci and total adverse reaction rate in the experimental group were lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusion Intravascular embolization can treat intracranial aneurysm complicated with cerebral infarction more effectively, with higher safety, it is worthy of clinical promotion.

Key words： Intracranial aneurysm Embolization Magnetic resonance imaging Cerebral infarction

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Liang
	WANG Gang
	KONG Lingchun

Cite this article:

WANG Liang,WANG Gang,KONG Lingchun. Clinical effect of intravascular embolization treatment in patients with intracranial aneurysm complicated with cerebral infarction[J]. 中国当代医药, 2022, 29(24): 46-49.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I24/46

[1]	欧阳茫，汪阳.颅内感染性动脉瘤诊治的研究进展[J].中国临床神经外科杂志，2018，23（1）：59-61.
[2]	赵伟国，粘琦玉，夏文骞.CTA 联合彩色多普勒超声诊断颅内动脉瘤的准确性及影像特点研究[J].中国CT 和MRI杂志，2021，19（1）：41-43.
[3]	申屠华松，陈亦华，程振宇，等.血管内治疗颅内破裂动脉瘤后发生神经系统并发症的相关因素分析[J].中华全科医学，2019，17（1）：55-58.
[4]	杜伟，魏新亭，张智峰.解读《欧洲卒中组织2013年颅内动脉瘤和蛛网膜下腔出血治疗指南》[J].中华神经科杂志，2014（1）：62-64.
[5]	王山山，苏茜，姜兴岳，等.血氧水平依赖功能磁共振成像对早期高压氧治疗后急性脑梗死患者的临床研究[J].实用放射学杂志，2020，36（8）：1183-1186.
[6]	Wang J，Luo J，Kunkel R，et al.Development of Shape Memory Polymer Nanocomposite Foam for Treatment of Intracranial Aneurysms[J].Mater Lett，2019，250（1）：38-41.
[7]	刘华亮，张小琨，屈洪颖，等.颅内动脉瘤血管内栓塞后新发脑梗死磁共振成像特点分析[J].中华老年心脑血管病杂志，2020，22（8）：805-809.
[8]	陈泽鑫，蔡洁波，黄广俊.不同介入手术治疗时机对颅内动脉瘤患者完全栓塞率和预后的效果评价[J].中国医药科学，2020，10（4）：240-242，246.
[9]	蔡跃豪，彭晖，黄广俊，等.颅内动脉瘤患者夹闭术后脑血管痉挛的影响因素[J].中国当代医药，2021，28（28）：100-102.
[10]	Kraus B，Goertz L，Turowski B，et al.Safety and efficacy of the Derivo Embolization Device for the treatment of unruptured intracranial aneurysms：a multicentric study[J].J Neurointerv Surg，2019，11（1）：68-73.
[11]	Sousa EB，Brandao LFS，Tavares CB，et al.Importance of the First Coil in the Embolization of Intracranial Aneurysms：A Case Control Study[J].Clin Neuroradiol，2019，29（4）：733-740.
[12]	李传玉，徐伟伟，韦翠翠，等.颅内破裂动脉瘤介入栓塞患者早期预后相关因素分析[J].中华神经创伤外科电子杂志，2020，6（3）：145-150.
[13]	韩坤强，王林玉，管生，等.艾地苯醌的应用对未破颅内动脉瘤患者介入栓塞术后新发DWI 高信号的影响[J].临床医药文献电子杂志，2019，6（9）：139-140.
[14]	郭书丽，张翠兰，逯书娟，等.对比剂增强MRA 与MR 血管壁成像技术在颅内动脉瘤诊断中的联合应用价值研究[J].中国医学装备，2020，17（6）：50-53.
[15]	Chai CL，Pyeong Jeon J，Tsai YH，et al.Endovascular Intervention Versus Surgery in Ruptured Intracranial Aneurysms in Equipoise：A Systematic Review[J].Stroke，2020，51（6）：1703-1711.
[16]	Bao Q，Meng X，Hu M，et al.Simulation analysis of aneurysm embolization surgery：Hemorheology of aneurysms with different embolization rates （CTA）[J].Biomed Mater Eng，2021，32（5）：295-308.
[17]	宋志强，朱安林，陈锐锋，等.颅内动脉瘤急症介入术后神经系统并发症相关因素探讨[J].介入放射学杂志，2019，28（5）：411-414.
[18]	钟波，邹国荣，熊志强，等.球囊辅助夹闭术治疗颈内动脉巨大型未破裂颅内动脉瘤[J].国际脑血管病杂志，2019，27（7）：520-524.
[19]	Pierot L，Barbe C，Herbreteau D，et al.Immediate post-operative aneurysm occlusion after endovascular treatment of intracranial aneurysms with coiling or balloon-assisted coiling in a prospective multicenter cohort of 1189 patients:Analysis of Recanalization after Endovascular Treatment of intracranial Aneurysm （ARETA） Study[J].J Neurointerv Surg，2021，13（10）：918-923.
[20]	Zhao X，Wang X，Wang M，et al.Treatment strategies of ruptured intracranial aneurysms associated with moyamoya disease[J].Br J Neurosurg，2021，35（2）：209-215.
[21]	黄波，刘耀华，潘磊，等.颅内动脉瘤夹闭术，血管内栓塞术治疗颅内动脉瘤的疗效及安全性研究[J].现代生物医学进展，2020，20（9）：1788-1792.
[22]	彭怀玉，孙继虎，刘顺帆，等.血管内介入栓塞治疗老年颅内动脉瘤的疗效评价及影响预后的相关因素分析[J].中国药物与临床，2020，20（19）：3284-3286.