3D路径图用于颅内动脉瘤介入治疗对手术时间和X射线辐射剂量的影响研究  

The influence of 3D path graph for intracranial aneurysm intervention on operation time and X-ray radiation dose

作　　者：李亚捷[1] 王磊[1] 谷震[1] 陈昱云[1] LI Ya-Jie;WANG Lei;GU Zhen;et al(Department of Neurosurgery, The Second People＇s Hospital of Yunnan, Kunming Yunnan 650021, China.)

机构地区：[1]云南省第二人民医院神经外科,云南昆明650021

出　　处：《临床和实验医学杂志》2018年第10期1104-1107,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的研究并探讨三维(3D)路径图用于颅内动脉瘤介入治疗中的应用效果及对其手术时间、X射线辐射剂量的影响。方法选取2014年1月至2016年8月期间收治的100例颅内动脉瘤患者进行前瞻性研究,按照随机数字分组法将其分为对照组与观察组各50例。所有患者均施行颅内动脉瘤介入栓塞术治疗,对照组患者在二维路径图引导下进行介入治疗,观察组患者在3D路径图引导下进行介入治疗。两组患者就其路径图图像质量、手术时间、X射线辐射剂量、透视时间、治疗效果、生活质量评分、复发率等指标进行比较。结果观察组的路径图图像质量优良率明显高于对照组(P<0.05);观察组的手术时间、透视时间均显著短于对照组(P<0.05),其X射线辐射剂量明显少于对照组(P<0.05);观察组的总有效率为94.0%,明显高于对照组的78.0%(P<0.05);两组治疗后的各方面生活质量评分均较治疗前显著增高(P<0.05),而在治疗后,观察组的各方面生活质量评分均高于对照组(P<0.05);观察组的复发率低于对照组(P<0.05)。结论在颅内动脉瘤患者的介入栓塞治疗中,采用三维路径图进行引导,可有效缩短患者的手术时间和透视时间,减少X射线辐射剂量,有利于提高治疗效果,减少其复发,进而全面提高患者的生活质量水平。Objective To study and explore the effect of 3D（ three dimensional,3D） path graph for the treatment of intracranial aneurysm intervention and its effect on the time of operation and the dose of X-ray radiation. Methods From January 2014 to August 2016,according to the computer random digital grouping,100 patients with intracranial aneurysms treated during the prospective study were randomly divided into control group and observation group（ 50 cases in each group）. All patients performed interventional embolization of intracranial aneurysms,and the control group patients with 2D path graph guided interventional therapy,observation group of patients with the 3D path graph guided interventional treatment. The path graph image quality,operation time,X-ray radiation dose,perspective,therapeutic effect and quality of life score,the recurrence rate index were compared between the two groups. Results The image quality of the observation group was significantly higher than that of the control group（ P〈0. 05）. The operation time and perspective time of the observation group were significantly shorter than that in the control group（ P〈0. 05）,and the X-ray radiation dose was significantly lower than that in the control group（ P〈0. 05）. The total effective rate of the observation group was 94%,significantly higher than 78% in the control group（ P〈0. 05）. The quality of life scores of the two groups were significantly higher after treatment than before treatment（ P〈0. 05）. After treatment,the quality of life in all aspects of the observation group was higher than that in the control group（ P〈0. 05）. The recurrence rate of the observation group was lower than that in the control group（ P〈0. 05）. Conclusion In patients with intracranial aneurysms interventional embolization,using three-dimensional path graph to boot,which can effectively shorten the operation time and perspective time,reduce the X-ray radiation dose,improve the treatment effect of patients,reduce the recurrence,a

关 键 词：颅内动脉瘤 介入栓塞术 三维路径图 数字减影血管造影 

分 类 号：R651.12[医药卫生—外科学]