血管内介入疗法与显微神经外科手术治疗颅内动脉瘤的疗效比较  

Comparison on the Thearpeutic Effects of Intracranial Aneurysm between Intravascular Interventional Treatment and Micro-neurosurgical Operation

作　　者：张绪新[1] 孙丕通[1] 邓东风[1] 高宝山[1] 李彦钊[1] 

机构地区：[1]大连大学附属中山医院神经外科,辽宁大连116001

出　　处：《医学综述》2016年第3期557-559,共3页Medical Recapitulate

摘　　要：目的比较血管内介入疗法与显微神经外科手术治疗颅内动脉瘤的疗效。方法选择2011年12月至2013年12月大连大学附属中山医院收治的100例颅内动脉瘤患者为研究对象,依据随机数字表法分为对照组和试验组,各50例。对照组患者采用血管内介入疗法治疗,而试验组采用显微外科手术进行治疗。比较两组患者的术中出血量、手术时间、住院时间及疗效和并发症发生情况。结果对照组患者术中出血量少于试验组[(89±4)m L比(152±8)m L],手术时间和住院时间均短于试验组[(85±6)min比(146±8)min,(13.3±2.3)d比(19.7±3.6)d](P<0.01);试验组患者疾病恢复良好率高于对照组[82.0%(41/50)比58.0%(29/50)];对照组患者并发症发生率明显低于试验组[4.0%(2/50)比20.0%(10/50)],差异均有统计学意义(P<0.05)。结论对于颅内动脉瘤治疗,血管内介入疗法能明显缩短治疗时间,且安全性更好,而显微神经外科治疗具有更高的疗效,两种方法均表现出各自的优势。因此,应根据患者病情选择合适的治疗方案。Objective To compare the therapeutic effects of intracranial aneurysm between intravascular interventional treatment and micro-neuresurgical operation. Methods Total of 100 patients with intracranial aneurysm admitted to Zhongshan Hospital Affiliated to Dalian University from Dec. 2011 to Dec. 2013 were included as the research objects, and they were divided inl o trial group and control group with 50 patients in each group according to random number table method. The patients were treated with intravascular interven- tional treatment in the control group,while the patients in the trial group were treated with micro-neurosurgical operation. The intraoperative blood loss, operative time, length of stay, efficacy and complications were observed and compared between two groups. Results The blood loss, operation time and hospitalization time of the control group were less than the trial group[ （89 ± 4 ） mL vs （ 152 ± 8 ） mL, （85 ±6 ） min vs （ 146 ± 8） min, （ 13.3 ±2.3） d vs （ 19. 7 ±3.6） d] （P 〈0. 01 ） ;the rate of good recovery of the trial group was higher than the control group [ 82. 0% （41/50） vs 58.0% （29/50） ] ;the rate of complication incidence of control group was lower than that in the trial group [ 40. 05 b （2/;50 ） vs 20.0% （10/50） ] , the differences were statistically significant （ P 〈 0. 05 ）. Conclusion As for the treatment of intracranial aneurysm,intravascular interventional treatment is featured with less treatment nt time with higher safety;on the other hand, the therapeutic effect of micro-neuresurgical operation is better, each with own advantages, therefore suitable method should be chosen according to the patients＇condition.

关 键 词：颅内动脉瘤 血管内介入疗法 显微神经外科手术 

分 类 号：R651.1[医药卫生—外科学]