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目的 比较机械可脱式弹簧圈 (mechanicaldetachablespiral,MDS)与电解可脱式弹簧圈 (Guglielmidetachablecoil,GDC)囊内栓塞颅内动脉瘤。 方法 对比分析 1995年 3月至 1999年 7月 12 0例 12 5个动脉瘤中 ,用MDS栓塞的 (6 4例 6 6个 )与用GDC栓塞的 (4 8例 5 1个 )病人、动脉瘤、栓塞结果和并发症等情况。结果 MDS和GDC两组病人的性别、年龄、治疗前有否蛛网膜下腔出血、Hunt Hess氏分级、动脉瘤体长径 (8 46± 3 42mm与 7 38± 3 45mm )和颈宽 (3 49±1 5 0mm与 3 2 6± 1 5 2mm)、栓塞所用弹簧圈的平均个数 (4 6 5± 3 0 4与 4 2 4± 2 6 5 )和长度(4 6 0 2± 398 5mm与 42 2 9± 387 1mm)、栓塞百分比 (95 0 0 %± 6 32 %与 94 19%± 7 6 3% ,栓塞≥ 80 %的病例 )、以及死亡和永久并发症合计发生率 (7 8%与 4 2 % )等均无显著性统计差异 (t或χ2 检验 ,P值均 >0 10 )。结论 MDS和GDC都是颅内动脉瘤栓塞治疗的有效材料。MDS价格相对较低 ,操作需一定的经验和技巧 ;GDC选择规格多 ,操作相对简单、安全 ,适应证更宽。正确选择MDS或GDC (或联合应用 ) ,可安全有效经济地治疗动脉瘤
Objective To compare the intracapsular embolization of intracranial aneurysms with mechanical detachablespiral (MDS) and Guglielmide-tunable coiled coils (GDC). Methods A total of 12 5 aneurysms between March 1995 and July 1999 were retrospectively analyzed. Among 64 aneurysms embolized with MDS (64 cases with 66 cases) and those with GDC (48 cases with 51 cases), the arteries Tumor, embolism and complications and so on. Results The gender, age, subarachnoid hemorrhage, Hunt Hess’s grade, long diameter of aneurysm (8 46 ± 3 42mm and 7 38 ± 3 45mm) and neck width (3) before and after MDS and GDC 49 ± 150 mm and 32 6 ± 1 52 mm), the average number of coils used for embolization (465 ± 340 and 424 ± 265) and length (4600 ± 398 mm And 42 2 9 ± 387 1mm), the percentage of embolism (95 0 0% ± 6 32% vs 94 19% ± 7 6 3%, embolization ≥ 80%), and the combined incidence of death and permanent complications % And 42%) had no significant statistical difference (t or χ2 test, P values were> 0 10). Conclusion Both MDS and GDC are effective materials for the treatment of intracranial aneurysm embolization. MDS relatively low prices, the operation requires some experience and skills; GDC choose more specifications, the operation is relatively simple, safe, wider indications. Correct choice of MDS or GDC (or combination) for the safe and cost-effective treatment of aneurysms