摘要
目的:探讨血管内介入栓塞术和开颅夹闭术治疗脑动脉瘤的临床效果。方法:选择经CTA和DSA检查确诊的脑动脉瘤患者,按手术方法的不同分为夹闭组(51例)与介入组(52例)组,夹闭组采用开颅夹闭术,介入组采用血管内介入栓塞术,比较两组的术后并发症、住院时间及治疗有效率,随访3个月,比较两组患者生活能力恢复情况。结果:介入组生活能力恢复的良好率为94.23%,高于夹闭组的68.63%(P<0.01);介入组治疗有效率为90.38%,明显高于夹闭组的70.59%(P<0.05);介入组术后并发症发生率及住院时间均优于夹闭组(P<0.01)。结论:血管内介入栓塞术治疗脑动脉瘤的效果显著,能显著减轻患者的神经症状,改善患者生活质量,且安全性高,术后恢复时间短。
Objective:To investigate the clinical effect of endovascular embolization and craniotomy clipping on cerebral aneurysm.Methods:The patients with cerebral aneurysm diagnosed by CTA and DSA were divided into two groups:control group(51 case)and intervention group(52 case)The interventional endovascular embolization was used to compare the postoperative complications,hospitalization time and treatment efficiency of the two groups.The patients were followed up for 3 months,and the recovery of viability was compared between the two groups.Results:The recovery rate of intervention group was 94.23%,which was higher than 68.63%(P<0.01)in intervention group.The effective rate of intervention group was 90.38%,significantly higher than 70.59%(P<0.05)of intervention group.The incidence of postoperative complications and hospital stay in intervention group were better than those in the occlusion group(P<0.01).Conclusion:Endovascular embolization is effective in treating cerebral aneurysms,which can significantly reduce the neurological symptoms and improve the quality of life of patients with high safety and short postoperative recovery time.
出处
《陕西医学杂志》
CAS
2018年第1期56-58,共3页
Shaanxi Medical Journal
基金
国家自然科学基金资助项目(81441038
81371314)
