夹闭术与血管内治疗破裂性宽颈动脉瘤的比较  

Clinical analysis of clipping and endovascular treatment for ruptured wide - necked aneurysm

作　　者：孟雷[1] 栾立明[1] 许尚臣[1] 赵光宇[1] 庞琦[1] 

机构地区：[1]山东大学附属山东省立医院神经外科,济南250021

出　　处：《中华神经外科杂志》2011年第4期463-465,共3页Chinese Journal of Neurosurgery

基　　金：国家自然科学基金项目（30973109）

摘　　要：目的 回顾性分析破裂性宽颈动脉瘤夹闭术及血管内治疗的疗效.方法 确诊的143例破裂性宽颈动脉瘤患者分别采用夹闭术（83例）和血管内治疗（60例）,对两组患者并发症发生率、复发率及出院后6个月改良Rankin评分进行比较.结果 两组的并发症发生率、复发率及改良Rankin评分差异有统计学意义（P＜0.05）,血管内治疗组较夹闭术组复发率高,但并发症少,患者预后好.结论 血管内治疗破裂性宽颈动脉瘤安全、有效,患者有着更好的生存质量.Objective To analyze the clinical efficacy of clipping and endovascular treatment for ruptured wide-necked aneurysm Methods 143 patients with ruptured wide- necked aneurysm were treated by clipping （ n =83） or endovascular treatment （ n =60）. Their complication rates、recurrence rates and modified Rankin scale scores at six months after leaving hospital were evaluated. Results The complication rate in endovasular treatment group was less than that in clipping group（ P 〈 0.05） significantly. The recurrence rate in clipping group was less than that in endovasular treatment group（ P 〈 0. 05） significantly. The modified Rankin scale in endovasular embolization group was less than that in clipping group（ P 〈 0. 05） significantly. Higher recurrence rate and lower complication rate were observed in endovasular treatment group. Patients with endovascular treatment had better prognosis. Conclusion Endovascular treatment for ruptured wide - necked aneurysm is efficient and safe. Better quality of life could be achieved

关 键 词：宽颈动脉瘤 夹闭术 血管内治疗 

分 类 号：R651.12[医药卫生—外科学]