Abstract：Objective: To investigate the effect of micro-coils for treatment and the incidence of complications of cerebral aneurysms. Methods: A retrospective analysis in August 2014 - February 2016 the clinical data in our hospital coil thrombolytic therapy in patients with cerebral aneurysms, and Guglielmi micro spring according to the treatment used in the process of divided differences microcoil ring set and mechanical detachable microcoil groups. Observation of the therapeutic effect of two groups of patients, NIHSS score, differences in activities of daily living, the incidence of complications. Results: Mechanical detachable microcoil group recanalization rate was 86.2%; Guglielmi microcoil group recanalization rate Guglielmi microcoil group, there was no significant difference between the two groups (P> 0.05); Two groups of patients before treatment NIHSS score was no significant difference after treatment, both groups of patients with NIHSS scores than those before treatment (P <0.05); After treatment of eating, bathing, modification, dressing and other activities of daily living score was no significant difference (P> 0.05); Guglielmi detachable microcoil aneurysm patients and then broke, coil prolapse and cerebral vasospasm were significantly lower than mechanical detachable microcoil group, the difference was statistically significant (P <0.05). Conclusion: Guglielmi detachable coils and micro-mechanical detachable microcoil of cerebral aneurysms have a better therapeutic effect, and Guglielmi detachable microcoil complication rate, with better clinical value.
李冬华, 李密, 李海龙, 魏剑波. 微弹簧圈对脑动脉瘤的疗效及对日常生活能力的影响[J]. 河北医学, 2017, 23(10): 1619-1622.
LI Donghua, LI Mi, LI Hailong, et al. Efficacy and Impact of Micro-coils for Cerebral Aneurysms of Daily Living. 河北医学, 2017, 23(10): 1619-1622.
[1]Sedat J, Chau Y, Mondot L, et al. Is eptifibatide a safe and effective rescue therapy in thromboembolic events complicating cerebral aneurysm coil embolization Single-center experience in 42 cases and review of the literature[J]. Neuroradiology,2014,56(2):145~153. [2] Starke R M, Chalouhi N, Jabbour P M, et al. Critical role of TNF-α in cerebral aneurysm formation and progression to rupture[J].Journal of Neuroinflammation,2014,11(4):1~10. [3] 孔世奇,葛信波,杨群福.微小脑动脉瘤介入栓塞治疗的临床研究[J].中国医师进修杂志,2014,37(20):13~15. [4] 张帅,吕明.双微导管弹簧圈保护技术栓塞颅内宽颈小动脉瘤三例[J].中国脑血管病杂志,2015,10(7):366~368. [5] Walsh M E. The Nose Knows: An Unusual Presentation of a Cerebral Aneurysm[J].Journal of Emergency Medicine, 2014, 47(5):113~115. [6] Kim Y, Nard J A, Saad A, et al. Cerebral aneurysm in a 12-year-old boy with a STAT3, mutation (hyper-IgE syndrome)[J].Annals of Allergy Asthma & Immunology Official Publication of the American College of Allergy Asthma & Immunology,2015,114(5):430~431. [7] 张五中,常文海,张俊杰,等.颅内动脉瘤破裂合并脑内血肿的诊治体会[J].中华神经医学杂志,2014,13(4):405~406. [8] 何科君,齐铁伟,郭少雷,等.脑膜血管瘤病变伴发颅内动脉瘤形成1例并文献复习[J].中国脑血管病杂志,2014,10(8):431~435. [9] 张文霞,梁军利,瞿千千,等.动脉瘤性蛛网膜下腔出血栓塞术后脑脊液置换的护理[J].护士进修杂志,2014,7(2):125~126. [10] 李国峰,邓光策,曾敏敏,等.前循环颅内动脉瘤破裂出血的显微手术治疗[J].中国临床神经外科杂志,2016,13(2):152~154. [11] 时雷.开颅夹闭与血管介入栓塞术治疗脑动脉瘤患者的临床观察[J].心脑血管病防治,2016,14(3):113~115. [12] 杨松,肖泉,李林,等.电解可脱微弹簧圈栓塞治疗颅内动脉瘤效果探讨[J].中国临床保健杂志,2014,17(3):296~297. [13] 刘广,石乃华,张兵军,等.早期介入微弹簧圈栓塞治疗脑动脉瘤破裂的疗效及预后分析[J].现代生物医学进展,2015,15(29):5713~5715. [14] 夏吉勇,焦铁鹰,李志强,等.微弹簧圈血管内栓塞治疗急性期破裂颅内动脉瘤[J].临床和实验医学杂志,2015,14(2):140~143. [15] 黄焜云,唐伟泰,莫浩伟.电解可脱性弹簧圈栓塞治疗颅内动脉瘤临床研究[J].中国现代手术学杂志,2016,14(2):44~48.
2017, Vol. 23 
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