摘要
目的:分析颅内动脉瘤疾病特点、治疗需求,对比支架植入辅助弹簧圈栓塞、单纯开颅手术治疗的预后效果。方法:选择本院神经外科2019年2月~2020年3月的颅内动脉瘤疾病患者(n=80),经伦理委员会审核批准,采取随机法分组手术治疗。对照组患者采取单纯开颅手术治疗,观察组患者采取支架植入辅助弹簧圈栓塞治疗,比较2组患者临床疗效、手术相关指标、神经功能与日常生活活动能力。结果:颅内动脉瘤患者治疗效果方面,观察组、对照组临床疗效差异显著,P<0.05;颅内动脉瘤患者手术、术后恢复情况方面,观察组患者手术时间与住院时间短于对照组、手术出血量少于对照组,P<0.05;美国国立卫生研究院卒中量表(NIHSS)评分、日常生活活动能力量表(ADL)评分比较,观察组NIHSS评分少于对照组、ADL评分高于对照组,P<0.05。结论:颅内动脉瘤疾病近年来较为常见,需采取手术治疗提高患者的生活、生存质量。与开颅手术比较,支架植入辅助弹簧圈栓塞治疗具有手术创伤小、恢复快、手术效果确切等优势,促进患者康复。
Objective:To analyze the characteristics and treatment needs of intracranial aneurysms,and to compare the prognostic effects of stent implantation assisted coil embolization and simple craniotomy.Methods:Selected patients with intracranial aneurysm disease(n=80)in the neurosurgery department of our hospital from February 2019 to March 2020,reviewed and approved by the ethics committee,and adopted randomized group surgery.Patients in the control group were treated with simple craniotomy,and patients in the observation group were treated with stent implantation assisted coil embolization.The clinical efficacy,operation-related indicators,neurological function and activities of daily living in the two groups were compared.Results:In terms of the treatment effect of patients with intracranial aneurysm,the observation group and the control group had significant differences in clinical efficacy,P<0.05;In terms of surgery and postoperative recovery of patients with intracranial aneurysms,the observation group had shorter surgical and hospitalization times compared to the control group,and had less surgical bleeding compared to the control group(P<0.05);Comparison of the NIH Stroke Scale(NIHSS)score and the activities of daily living(ADL)score of the National Institutes of Health,the observation group NIHSS The score was lower than that of the control group,and the ADL score was higher than that of the control group,P<0.05.Conclusion:Intracranial aneurysm disease is more common in recent years,and surgical treatment is needed to improve the life and quality of life of patients.Compared with craniotomy,stent implantation assisted coil embolization therapy has the advantages of small surgical trauma,quick recovery,and precise surgical effect,which promotes the recovery of patients.
作者
韩东
HAN Dong(Department of Neurosurgery,Donggang Second Hospital,Liaoning Donggang 118313)
出处
《中国医疗器械信息》
2023年第5期140-142,共3页
China Medical Device Information
关键词
支架植入辅助弹簧圈栓塞
开颅手术
颅内动脉瘤
手术情况
临床疗效
康复状况
stent implantation assisted coil embolization
craniotomy
intracranial aneurysm
surgical status
clinical efficacy
rehabilitation status
