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1、电解式和机械式可脱弹簧圈栓塞治疗颅内动脉瘤的比较作者：赵振伟高国栋秦怀洲李永林赵继培陈玲【关键词】电解式可脱弹簧圈关键词：电解式可脱弹簧圈；机械式可脱弹簧圈；颅内动脉瘤;血管内栓塞治疗摘要：冃的比较电解式可脱弹簧圈(GDC)和机械式可脱弹簧圈(MDS)栓塞治疗颅内动脉瘤的效果.方法1996-05/2000-10,采用MDS栓塞治疗颅内动脉瘤28例29个动脉瘤;采用GDC栓塞治疗颅内动脉瘤41例43个动脉瘤•对两种栓塞材料的特点和治疗效果进行分析.结果采用MDS栓塞治疗29个动脉瘤，完全栓塞23个，次全栓塞
2、3个及不全栓塞3个.1例栓塞术中血栓形成，遗留1例肢体偏瘫•采用GDC栓塞治疗43个动脉瘤，完全栓塞35个，次全栓塞4个及不全栓塞4个•术中血栓形成2例,经尿激酶溶栓和抗凝治疗，1例恢复另1例遗留轻瘫•微导丝刺破动脉瘤舉1例，致密填塞弹簧圈后治愈•两组患者均无死亡.结论GDC和MDS均为栓塞治疗颅内动脉瘤理想材料.MDS价格低廉，GDC较MDS更安全.Keywords:Guglielmidetachablecoils;mechanicaldetachablespirals;intracranialaneu
3、rysm;endovascnlarem-bolizationAbstract:AIMTocomparetheeffectofendovasculartreat-mentforintracranialaneurysmswithGuglielmidetachablecoils(GDC)andmechanicaldelachablespirals(MDS)・METHODSFromMayl996to0ctober2000,28patientswith29intracranialaneurysmsweretreat
4、edwithMDS,and41patientswiLh43intracranialaneurysmweretreatedwithGDCinourdepartment・Featuresandeffectswereanalysedbetweentwodifferetembolicmaterialsfortreatingintracra-nialaneurysms.RESULTS0f29aneurysmswhounder-wentMDSembolization,acompleteocclusionwasachi
5、evedin23aneurysms,sabtotaiocclusionin3,andincompleteoc-clusionin3.Onepatientwhosufferedthrombosisduringtheprocedurepresentedwithlighthemiparalysis.0f43Q-neurysinswhounderwentGDSembolization,acompleteoc-clusionwasachievedin35aneurysms,subtotalocclusionin4,
6、andincompleteocclusionin4・0f2patientswhosufferedthrombosisduringtheprocedure,lrecoveredandlpresent~edwithlighthemiparalysisafterurokinaseperfusionandanti-coagulation.Onewascured,whoexperiencedaneurysmalwallperforationduetomicroguidewire,afterdenselypackin
7、gcoils.Nodeathoccurredintwogroups.CONCLUSIONGDCandMDSarebothidealembolicmaterialsfortreatingintraeranialanenrysms.11seemsthatGDCissaferthanMDS,butMDSismuchcheaper.0引言颅内动脉瘤较多[1-3]・电解式可脱弹簧圈（Guglielmidetachablecoils,GDC）和机械式可脱弹簧圈（mechanicaldetachablespirals,
8、MDS）为两种血管内治疗颅内动脉瘤的主要栓塞材料•它们的连接和解脱方式的不同，治疗效果会有差异•国内外缺乏相关报道.1996-05/1999-05我们采用MDS栓塞颅内动脉瘤28例29个动脉瘤;1999-05/2000-10采用GDC栓塞颅内动脉瘤41例43动脉瘤，比较如下.1材料和方法1.1材料MDS栓塞颅内动脉瘤28（男19,女9）例，年龄22〜64（平均45.5）岁；26例为蛛网膜下腔出血，2例为偶然发现;Hunt和He
