摘要
目的 比较开颅夹闭和介入治疗颅内动脉瘤的临床治疗效果。方法哈尔滨医科大学附属第二医院神经外科自2008年11月至2010年1月收治颅内动脉瘤患者73例，其中行开颅夹闭治疗30例，行介入治疗43例。回顾性分析2组患者的临床资料并比较并发症、住院时间和预后情况。结果脑水肿、脑梗死、颅内出血、脑积水和颅内感染的发生率2组间比较差异无统计学意义（P〉0．05）；开颅夹闭组患者住院时间[（17．56±7．57）d]长于介入治疗组[（13．12±7．12）d]，差异有统计学意义（P〈0．05）开颅夹闭组患者出院时预后良好25例，预后不良5例，介入治疗组患者出院时预后良好40例，预后不良3例，差异无统计学意义（P＞0．05）。结论血管内介入治疗动脉瘤的安全性和有效性并不优于开颅夹闭治疗。
Objective To compare the clinical treatment efficacy ofneurosurgical clipping and endovascular coiling on intracranial aneurysms. Methods Seventy-three patients with ruptured intracranial aneurysms, admitted to our hospital from November 2008 to January 2010 were chosen in the experiment. Neurosurgical clipping was performed on 30 patients and endovascular coiling was adopted in 43. Their clinical data were retrospectively analyzed and the complications, hospital length of stay and prognosis were compared. Results No significant differences on the happening of such complications as encephaledema, cerebral infarction, intracranial hemorrhage, hydrocephalus and intracranial infection were noted between the 2 groups （P〉0.05）. Obvious differences on the average hospital length of stay were found between neurosurgical clipping group （[17.56±7.57] d） and endovascular coiling group （[13.12±7.12 ] d, P〈0.05）. Till the discharge, 25 patients achieved good prognosis and 5 bad prognosis in the neurosurgical clipping group; 40 patients achieved good prognosis and 3 bad prognosis in the endovascular coiling group; no significant difference was noted between the 2 groups（P〉0.05）. Conclusion The endovascular treatment is not superior to neurosurgical clipping in both its safety and efficacy.
出处
《中华神经医学杂志》
CAS
CSCD
北大核心
2010年第10期984-986,共3页
Chinese Journal of Neuromedicine
关键词
颅内动脉瘤
神经外科手术
介入治疗
Intracranial aneurysm
Neurosurgery
Endovascular treatment
