脑动脉瘤破裂患者介入栓塞术的应用时机研究  

Application Research on the timing of interventional embolization for patients with ruptured cerebral aneurysms

作　　者：邝业兴 谢志强[1] 关健雄[1] 

机构地区：[1]广东省开平市中心医院神经外科,广东开平529300

出　　处：《中国民族民间医药》2015年第6期76-77,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:分析和研究脑动脉瘤破裂患者介入栓塞术的应用时机对患者预后的影响。方法:选取50例脑动脉瘤破裂患者为研究对象,根据手术时机不同进行分组。研究组25例患者在动脉瘤破裂早期(发病3d内)进行介入栓塞术治疗,对照组25例患者则为非早期介入栓塞治疗,对两组患者的疗效及并发症情况进行比较。结果:研究组患者栓塞成功率96.0%,对照组患者栓塞成功率80.0%,研究组显著优于对照组,差异具有统计学意义(P<0.05);研究组治疗后并发症发生率为12.0%,复发率4.0%,显著低于对照组的48.0%和16.0%,差异具有统计学意义(P<0.05)。结论:早期行介入栓塞术治疗脑动脉瘤破裂能够显著提高疗效,减少术后并发症发生,避免复发,值得在临床上推广应用。Objective To explore the application of cerebral aneurysms interventional embolization in patients with timing effect on the prognosis of patients.Methods The research object was 50 cases of ruptured cerebral aneurysm patients in our hospital,according to different grouping operation time,the team of 25 patients in the early days of aneurysm rupture（within 3 d） for interventional embolization,the control group of 25 patients for early interventional embolization,the curative effect and complications of two groups of patients for statistical comparison.Results the team completely embolism in 19 patients,after embolization in 5 cases,incomplete embolization in 1 case,embolism success rate 96.0%,control group patients 11 cases,completely after embolization in 9 cases,incomplete embolization in 5 cases,80.0% success rate of embolism,group was significantly better than control group,difference has statistical significance（P 0.05）; Group after treatment the incidence of complications was 12.0%,the recurrence rate 4.0%,significantly lower than the control group were 48.0% and 16.0%,the difference statistically significant（P 0.05）.Conclusion Early interventional embolization of cerebral aneurysms can significantly improve curative effect,reduce the postoperative complications,avoid recurrence,is worth in clinical promotion and application.

关 键 词：脑动脉瘤破裂 介入治疗 弹簧圈栓塞术 手术时机 

分 类 号：R739.4[医药卫生—肿瘤]