显微手术治疗颅内前循环动脉瘤疗效及并发症分析  

Analysis of the Efficacy and Complications of Microsurgery for the Treatment of Intracranial Anterior Circulation Aneurysms

作　　者：郭继锋[1] 霍楠楠 单显民 

机构地区：[1]大连市第三人民医院急诊科,辽宁大连116033 [2]大连大学附属新华医院血管外科,辽宁大连116021

出　　处：《中外医疗》2016年第1期52-53,71,共3页China & Foreign Medical Treatment

摘　　要：目的探讨显微手术治疗颅内前循环动脉瘤的临床效果及临床并发症发生情况。方法整群选取2013年12月—2015年1月间该院收治的颅内前循环动脉瘤患者,共计98例。均分为治疗组和对照组,各49例,对照组采用血管介入栓塞治疗方案,治疗组患者采用血管显微手术,对比各自疗效情况。结果治疗组采用血管显微手术方法能有效提高患者痊愈情况,较对照组情况较好,差异有统计学意义(P<0.01)。同时,治疗组并发症发生情况优于对照组,但两组患者差异无统计学意义(P>0.05)。结论血管显微手术是一种有效治疗颅内前循环动脉瘤的临床方法,该方案效果显著,但临床治疗时应根据患者自身情况选择治疗方法,以提高疗效情况。Objective To investigate the clinical effect of microsurgery in the treatment of intracranial anterior circulation aneurysms and the clinical complications. Methods A total of 98 cases with intracranial anterior circulation aneurysms treated in our hospital from December 2013 to January 2015 were selected and divided into the treatment group and the control group, 49 cases in each group. The control group were treated with vascular interventional embolization therapy, the treatment group were treated with vascular microsurgery. And their efficacy was compared. Results The efficacy of the treatment group was much better than that of the control group with statistically significant difference（P〈 0.01）. The incidence of complications of the treatment group was lower than that of the control group, but the difference between the two groups was not statistically significant（P〉 0.05）. Conclusion Vascular microsurgery is an effective method for the treatment of intracranial anterior circulation aneurysms. The effect of this method is remarkable, but in order to improve the curative effect,the clinical treatment should be chosen according to the patient＇s own conditions.

关 键 词：显微手术 颅内前循环动脉瘤 疗效 并发症 

分 类 号：R743[医药卫生—神经病学与精神病学]