血管内栓塞术和开颅夹闭手术治疗颅内动脉瘤的对比分析  

Analysis of therapeutic effects of endovascular embolization and microsurgical clipping on intracranial aneurysms

作　　者：杨金庆[1] 王凤伟 薛勇[1] 李龙[1] 王兆斌[1] YANG Jin-qing;WANG Feng-wei;XUE Yong;LI Long;WANG Zhao-bin(Department of Neurosurgery,Zhongyuan Oilfield GeneralHospital,Puyang 457001,China)

机构地区：[1]濮阳市油田总医院神经外科,河南457001

出　　处：《中国临床神经外科杂志》2018年第11期727-728,共2页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨血管内栓塞术和开颅夹闭术治疗颅内动脉瘤的疗效。方法回顾性分析2015年1月至2017年12月收治的86例颅内破裂动脉瘤的临床资料,其中43例采用血管内栓塞术治疗(栓塞组),43例采用开颅夹闭术治疗(夹闭组)。结果术后4周,栓塞组改良Rankin量表(mRS)评分0分22例,1分6例,2分5例,3分4例,4分2例,5分3例;夹闭组m RS评分0分20例,1分7例,2分5例,3分4例,4分3例,5分2例。栓塞组恢复良好率(76.7%,33/43)与夹闭组(74.4%,32/43)无统计学差异(P>0.05)。栓塞组术后并发症发生率(16.2%,7/43)明显低于夹闭组(37.2%,16/43;P<0.05)。结论血管内栓塞术和开颅夹闭术治疗均是治疗颅内破裂动脉瘤的有效方法,疗效基本相同,但血管内栓塞治疗术后并发症发生率低于开颅夹闭术。Objective To explore the therapeutic effects of endovascular embolization and microsurgical clipping on intracranial aneurysms. Methods Of 86 patients with ruptured intracranial aneurysms treated in our hospital from January, 2015 to December, 2017, 43 （embolization group） underwent endovascular embolization of the aneurysms and 43 （clipping group） underwent microsurgical clipping of the aneurysms. The therapeutic effects were analyzed and compared between both the groups. Results There were not significant difference in the rates of good recovery and death between both the groups 4 weeks after the surgery and hospital stay （P〉 0.05）. The rate of postoperative complications occurrence was significantly lower in the embolization group than that in the clipping group （P〈0.05）. Conclusions The endovascular embolization was similar to microsurgical clipping in the therapeutic effect on the intracranial aneurysms, but it produce significantly less postoperative complications compared with microsurgery clipping in the patients with reputurned intracranial anenrysms.

关 键 词：颅内破裂动脉瘤 血管内栓塞术 开颅夹闭术 疗效 

分 类 号：R743.9[医药卫生—神经病学与精神病学] R651.11[医药卫生—临床医学]