颅内多发性动脉瘤开颅和介入手术疗效对比  

The comparison of craniotomy and intervention in treatment of multiple intracranial aneurysms

作　　者：姚晓峰[1] 宋波[1] 

机构地区：[1]延安大学咸阳医院神经外科二病区,陕西咸阳712000

出　　处：《西部医学》2014年第12期1650-1652,共3页Medical Journal of West China

摘　　要：目的 研究颅内多发性动脉瘤（MIA）开颅和介入手术对比及手术入路的选择分析.方法 分析2008年1月～2013年1月在我院接受住院治疗的172例MIA患者的临床资料,根据治疗方案分为开颅组82例和介入组96例,并比较两组患者的临床疗效、炎症指标、住院时间及费用.结果 两组患者的手术成功率差异无统计学意义（x2=0.501,P=0.479）;术后第1天炎症指标均无统计学差异（均P＞0.05）,而术后1周介入组患者的CRP（t=3.364,P＜0.001）和IL-6（t=2.952,P=0.004）水平显著低于开颅组;介入组患者住院费用略高于开颅组,但差异无统计学意义（P＞0.05）;而住院时间却明显少于开颅组（t=3.725,P＜0.01）.结论 介入组患者炎症指标下降速度、住院时间均优于开颅组,且适应证更为广泛.在微创技术势不可挡的发展趋势下,将取代传统开颅手术而成为MIA的治疗首选.Objective Our retrospective study was aimed to analyze the difference between the craniotomyand in tervention in the treatment of multiple intracranial aneurysms. Methods Clinical data of patients with multiple intracranial aneurysms were retrospectively analyzed. The patients included were divided into two groups according to the treatment prescription. Results 172 patients were retrospective analyzed, including 90 in intervention group, 82 in craniotomy group. The rate of decline of inflammation index and hospitalization in intervention group were better than in craniotomy group. Conclusion The rate of decline of inflammation index and hospitalization in intervention group are better than in craniotomy group.

关 键 词：颅内多发性动脉瘤 介入 开颅手术 

分 类 号：R739.41[医药卫生—肿瘤]