电解式和机械式可脱弹簧圈栓塞治疗颅内动脉瘤的比较

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1、精品论文，值得推荐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:目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3个及不全栓塞3个.1例栓塞术中血栓形成，遗留1例

2、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.微导丝刺破动脉瘤壁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.优秀论文精品论文，值得推荐Keywords:Guglielmidetachablecoils;mechanicaldetachablespirals;intracranialaneurysm;endovascnlarem-bolizationAbstract:AIMToco

3、mparetheeffectofendovasculartreat-mentforintracranialaneurysmswithGuglielmidetachablecoils（GDC）andmechanicaldelachablespirals（MDS）.METHODSFromMay1996toOctober2000，28patientswith29intracranialaneurysmsweretreatedwithMDS，and41patientswith43intracranialaneurysmweretreatedwithGDCinourdepartme

4、nt.Featuresandeffectswereanalysedbetweentwodifferetembolicmaterialsfortreatingintracra-nialaneurysms.RESULTSOf29aneurysmswhounder-wentMDSembolization，acompleteocclusionwasachievedin23aneurysms，sabtotalocclusionin3，andincompleteoc-clusionin3.Onepatientwhosufferedthrombosisduringtheprocedur

5、epresentedwithlighthemiparalysis.Of43a-neurysmswhounderwentGDSembolization，acompleteoc-clusionwasachievedin35aneurysms，subtotalocclusionin4，andincompleteocclusionin4.Of2patientswhosufferedthrombosisduringtheprocedure，1recoveredand1present-edwithlighthemiparalysisafterurokinaseperfusionand

6、anti-coagulation.Onewascured，whoexperiencedaneurysmalwallperforationduetomicroguidewire，afterdenselypackingcoils.Nodeathoccurredintwogroups.CONCLUSIONGDCandMDSarebothideal优秀论文精品论文，值得推荐embolicmaterialsfortreatingintraeranialanenrysms.ItseemsthatGDCissaferthanMDS，butMDSismuchcheaper.0引言颅内动脉

7、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，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