摘要
目的探讨开颅夹闭与血管栓塞介入术治疗脑动脉瘤破裂的临床效果。方法选取我院2015年1月—2019年1月收治的脑动脉瘤破裂患者120例,采用随机数字表法将患者分为两组,对照组开颅夹闭手术治疗,观察组行血管栓塞介入术治疗,对比两组手术时间、住院时间、临床治疗总有效率、术后并发症发生率及术后1年Glasgow评分。结果观察组手术时间、住院时间皆短于对照组,差异有统计学意义(P<0.05);观察组临床治疗总有效率与照组相当,差异无有统计学意义(P>0.05);观察组术后并发症发生率较对照组低,差异有统计学意义(P<0.05);观察组术后1年Glasgow评分较对照组高,差异有统计学意义(P<0.05)。结论脑动脉瘤破裂患者临床治疗中,血管栓塞介入术临床疗效更高,术后恢复快,在远期疗效上更加显著,值得推广。
Objective To explore the clinical effect of craniotomy and vascular embolization interventional therapy on ruptured cerebral aneurysms.Methods 120 patients with ruptured cerebral aneurysm who were admitted to our hospital from January 2015 to January 2019 were selected,and they were divided into two groups by random number grouping method,the control group was treated with craniotomy,and the observation group was treated with vascular embolization intervention,the operative time,hospital stay,total clinical response rate,postoperative complication rate and one-year follow-up Glasgow score of two groups were compared.Results The operation time and hospitalization time of the observation group were shorter than that of the control group(P<0.05),and the total effective rate of the observation group was similar to that of the control group(P>0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05),and Glasgow score was significantly higher than that in the control group(P<0.05).Conclusion In the clinical treatment of patients with ruptured cerebral aneurysm,transcatheter arterial embolization has higher clinical efficacy,faster postoperative recovery,more significant long-term efficacy,and is worthy of promotion.
作者
吴粤
黄东标
吴海湾
WU Yue;HUANG Dongbiao;WU Haiwan(Department of Neurosurgery,Yuedong Hospital,The Third Affiliated Hospital of Sun Yat-sen University,Meizhou Guangdong 514000,China)
出处
《中国卫生标准管理》
2020年第24期88-90,共3页
China Health Standard Management
关键词
脑动脉瘤
破裂
血管栓塞介入术
开颅夹闭
意识障碍
远期疗效
血管造影
cerebral aneurysm
rupture
embolization
craniotomy
disturbance of consciousness
long-term effect
angiography
