颅内大脑中动脉动脉瘤的介入栓塞治疗分析  

Endovascular treatment of middle cerebral artery aneurysms with detachable coils

作　　者：曾文胜[1] 

机构地区：[1]广东省东莞市中山大学附属东华医院神经外科,523000

出　　处：《白求恩医学杂志》2014年第3期230-232,共3页Journal of Bethune Medical Science

摘　　要：目的探讨颅内大脑中动脉动脉瘤的介入栓塞治疗效果。方法将80例颅内大脑中脑动脉动脉瘤患者随机分为两组,分别采用显微镜下颅内动脉瘤夹闭术与血管内介入栓塞术治疗。比较两组格拉斯哥预后(GOS)评分、Hunt-Hess分级及住院时间、术后并发症发生情况。结果两组术后Hunt-Hess分级比较,差异无统计学意义(P>0.05)。观察组术后GOS评分高于对照组(P<0.05),住院时间短于对照组(P<0.01)。观察组患者出血破入脑室的比例为10.00%,低于对照组的32.50%(P<0.05)。结论血管内介入栓塞的手术效果优于颅内动脉瘤夹闭术。Objective To study the effect of endovascular treatment of middle cerebral artery aneurysms with detachable coils.Methods Eighty patients with middle cerebral artery aneurysms were randomly divided into two groups,and given intracranial aneurysm surgery respectively under the microscope and artery aneurysms with detachable coils. Glasgow score（ GOS score）,Hunt-Hess classification,length of hospital stay,postoperative complications between two groups were compared. Results There was no statistically significant difference between Hunt-Hess classification of the two groups after operation（ P〉0.05）. Postoperative GOS score of observation group was higher than that of control group（ P〈0.05）. The hospital stay of observation group was shorter than that of control group（ P〈0.01）. The rate of bleeding from breaking into the ventricle（ 10. 00%） was lower than that of control group（ P〈0.05）.Conclusion Endovascular interventional embolization can achieve even better result than intracranial aneurysm surgery.

关 键 词：大脑中动脉动脉瘤 介入栓塞术 显微镜 夹闭术 

分 类 号：R739.4[医药卫生—肿瘤]