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目的:比较支架辅助与非支架辅助弹簧圈栓塞术治疗急性期破裂宽颈前交通动脉瘤的安全性和有效性。方法:收集德州市人民医院神经外科2014年1月至2018年12月接受介入栓塞治疗的破裂宽颈前交通动脉瘤患者76例的临床资料，依据术中是否支架辅助分为支架组41例、非支架组35例。支架组根据患者载瘤动脉直径选择相应尺寸的Solitaire AB支架或LVIS支架，非支架组使用单导管、双导管或球囊辅助。比较两组围手术期并发症发生率、病死率和临床预后。结果:两组出血并发症、症状性血管痉挛、病死率和临床预后差异均无统计学意义(均n P>0.05)；支架组缺血并发症发生率为17.07%(7/41)，高于非支架组的2.86%(1/35)，差异有统计学意义(χn 2＝4.052，n P<0.05)。支架组总体并发症发生率为21.95%(9/41)，明显高于非支架组的5.71%(2/35)，差异有统计学意义(χn 2＝4.021，n P0.05). The incidence of ischemic complications in the stent group was 17.07%(7/41), which was significantly higher than that in the non-stent group[2.86%(1/35)](χn 2=4.052, n P<0.05). The overall complication rate of the stent group was 21.95%(9/41), which was significantly higher than 5.71%(2/35) of the non-stent group (χn 2=4.021, n P<0.05).n Conclusion:Both stent-assisted and non-stent-assisted coils can achieve good clinical results in the treatment of anterior communicating ruptured wide-necked aneurysms in acute phase.Stent-assisted embolism has a high incidence of ischemic complications and needs caution in clinical application.