Stent-pab embolization tau dhau los ua thawj qhov kev xaiv rau kev kho mob ntawm ruptured intracranial aneurysms. Cov kev tshawb fawb cuam tshuam tau lees paub tias stent-pab embolization tuaj yeem txhim kho qhov kev mob tshwm sim thiab rov tshwm sim ntawm cov neeg mob uas muaj kev sib tsoo intracranial aneurysms. Piv nrog cov coil yooj yooj yim intratumor embolization, implantation ntawm ib qho kev pab stent tuaj yeem txo qhov tshwm sim ntawm cov kauj khiav tawm, thiab cov ntshav khiav kev taw qhia kev ua haujlwm ntawm lub koom haum stent nws tus kheej tuaj yeem ua rau thrombosis hauv qhov aneurysm, ua tiav lub hom phiaj ntawm ntom embolization ntawm cov qog.
Ntau hom kev pabcuam stents muaj xws li laser engraved stents thiab braided stents. Laser engraved stents muaj qhov ua tau zoo, tuaj yeem dhau los ntawm cov hlab ntsha ntawm cov hlab ntsha kom zoo dua qub, tsis yooj yim deformed, thiab lub voj kaw tsim ua rau lawv muaj kev ruaj ntseg zoo thiab muaj txiaj ntsig zoo dua hauv kev hloov cov ntshav khiav. Txawm li cas los xij, nws qhov tsis zoo yog qhov kaw-voj tsim ua rau nws tsis tuaj yeem hloov kho kom zoo dua rau qhov tsis zoo ntawm cov hlab ntsha ntawm cov hlab ntsha. Piv nrog laser engraved stents, braided stents muaj qhov tsis muaj zog ntau dua, thiab lawv cov hlau npog feem ntau yog 11% -23%. Lub siab hlau npog muab rau lawv ib tug zoo mus sij hawm ntev aneurysm embolization densification nyhuv.
Stent-pab coil embolization muaj tus nqi siab ntawm kev ua tiav ntawm cov hlab ntsha aneurysms. Lub patency ntawm niam txiv cov hlab ntsha tuaj yeem khaws cia thaum lub sij hawm coil packing. Yeej tsis muaj coil khiav tawm tom qab ntim khoom, thiab qhov tshwm sim ntawm postoperative aneurysm rov tshwm sim tuaj yeem raug txo. Txawm li cas los xij, muaj cov teeb meem perioperative xws li los ntshav thiab ischemia, thiab kev siv cov tshuaj tiv thaiv kab mob dual tsis sib haum xeeb nrog kev kho mob los ntshav.
Hauv cov ntsiab lus, stent-pab coil embolization nyob rau hauv kev kho mob ntawm ruptured intracranial aneurysms tuaj yeem ua tiav cov txiaj ntsig zoo, tab sis tseem muaj ntau yam teeb meem uas yuav tsum tau daws thaum siv thev naus laus zis ntawm stent-pab embolization, xws li los ntshav thiab thrombosis. Qhov no tsis tsuas yog yuav tsum tau ua haujlwm siab heev ntawm cov kws kho mob, tab sis kuj yuav tsum tau ua kom muaj kev nce qib ntawm cov ntaub ntawv tshawb fawb. Hauv cov kev tshawb fawb soj ntsuam tom ntej, cov kws tshawb fawb yuav tsum tau tshawb nrhiav cov txheej txheem ntawm cov teeb meem cuam tshuam hauv stent-pab embolization hauv kev kho mob ntawm cov kab mob intracranial aneurysms, qhia meej lub sij hawm ntawm kev phais thiab cov hauv paus ntsiab lus ntawm kev kho dual-antibody tshuaj, thiab muab kev txhawb nqa theoretical rau cov neeg mob. ' kev kho mob, kev tiv thaiv teeb meem, thiab lwm yam.