血管栓塞术与显微手术夹闭治疗脑动脉瘤的临床疗效对比分析  

Analysis of Comparison of Clinical Curative Effect of Vascular Embolization and Microsurgical Clipping in Treatment of Cerebral Aneurysm

作　　者：刘磊[1] 周游[1] LIU Lei;ZHOU You(Department of Neurosurgery,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan,Hubei Province,430000 Chin)

机构地区：[1]武汉科技大学附属天佑医院神经外科,湖北武汉430000

出　　处：《中外医疗》2018年第11期108-110,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析血管栓塞术与显微手术夹闭治疗脑动脉瘤的临床疗效。方法方便选取2014年5月—2017年5月该院收治的70例脑动脉瘤患者作为研究对象,回顾性分析该70例患者的病历资料,按照治疗方式的不同将患者分成两组,每组35例患者,采用血管栓塞术治疗的为对照组,采用显微手术夹闭治疗的为研究组,对比分析两组患者的治疗疗效、手术指标及复发情况。结果对照组患者的治疗有效率为88.57%(31例),研究组的治疗有效率为91.43%(32例),两组患者治疗有效率对比差异无统计学意义(P>0.05,χ2=0.152 6);研究组的手术时间为(165.7±16.5)min,恢复时间为(12.5±1.4)d,前者与对照组相比差异无统计学意义(P>0.05,t=1.094 5),后者比较差异有统计学意义(P<0.05,t=6.5915);研究组术后复发率为2.86%(1例),明显低于对照组的20.00%(7例)(P<0.05,χ2=5.080 6)。结论血管栓塞术与显微手术夹闭治疗脑动脉瘤在疗效上并无明显区别,但显微手术夹闭治疗恢复用时短,复发率更低,相对于血管栓塞术而言,更具临床应用价值。Objective To compare the clinical curative effect of vascular embolization and microsurgical clipping in treatment of cerebral aneurysm. Methods 70 cases of patients with cerebral aneurysm admitted and treated in our hospital from May 2014 to May 2017 were convenient selected, and the medical records data were reviewed, and the patients were divided into two groups with 35 cases in each according to different treatment methods, the control group and the research group were respectively treated with vascular embolization and microsurgical clipping, and the treatment curative effect, operation indicators and recurrence condition were compared between the two groups. Results The treatment effective rate in the control group and in the research group was respectively 88.57%（31 cases） and 91.43%（32 cases）, and the treatment effective rate and recovery time in the research group were respectively（165.7±16.5） min and（12.5±1.4）d, and the differences between the two groups were not statistically significant（t=1.094 5,P〉0.05）, and the difference was statistically significant（t=6.591 5,P〈0.05）, and the postoperative recurrence rate in the research group was obviously lower than that in the control group,[2.86%（1 case） vs 20.00%（7 cases）],（χ2=5.080 6,P〈0.05）. Conclusion There is no obvious difference in the curative effect of vascular embolization and Microsurgical clipping in treatment of cerebral aneurysm, but the recovery time of the latter is shorter with lower recurrence rate, and it is of better clinical application value.

关 键 词：血管栓塞术 显微手术夹闭治疗 脑动脉瘤 术后复发 

分 类 号：R651.1[医药卫生—外科学]