动脉瘤介入栓塞术与颅内动脉瘤夹闭术治疗高分级动脉瘤性蛛网膜下腔出血对比分析  

Comparative Analysis of interventional Embolization and Incarceration of cerebral Aneurysm in the Treatment of high Grade aneurysmal subarachnoid Hemorrhage

作　　者：李同宽[1] 闫瑾 靳晓亮[1] 黄春波[1] 杨瑞生[1] LI Tongkuan;YAN Jin;JIN Xiaoliang;HUANG Chunbo;YANG Ruisheng(Department of Neurosurgery,Jiyuan People's Hospital,Jiyuan Henan 459000,China)

机构地区：[1]济源市人民医院神经外科,河南济源459000

出　　处：《临床研究》2020年第8期28-30,共3页Clinical Research

摘　　要：目的对比动脉瘤介入栓塞术与颅内动脉瘤夹闭术治疗aSAH(高分级动脉瘤性蛛网膜下腔出血)的临床疗效。方法选取2016年5月-2019年5月济源市人民医院收治的70例aSAH患者,以术式不同分为两组,A组35例患者采纳动脉瘤介入栓塞术治疗,B组35例患者采纳颅内动脉瘤夹闭术治疗,对比两组临床疗效、并发症发生情况。结果A组预后良好率71.43%明显高于B组45.71%(P<0.05),A组并发症发生率14.29%明显低于B组28.57%,差异显著(P<0.05)。结论动脉瘤介入栓塞术可有效改善患者临床症状,降低并发症发生率,值得借鉴。Objective To compare the clinical efficacy of interventional embolization and incarceration of cerebral aneurysm in the treatment of ASAH(high-grade aneurysmal subarachnoid hemorrhage).Methods From May 2016 to May 2019,70 patients with ASAH admitted to Jiyuan people’s hospital were divided into two groups.35 patients in group A were treated by interventional embolization of aneurysms,in group B,35 patients were treated by incarceration of cerebral aneurysm.The clinical effect and complications were compared between the two groups.Results The good prognosis rate of group A was 71.43%higher than that of group B 45.71%(P<0.05),and the complication rate of group A was 14.29%lower than that of group B 28.57%(P<0.05).Conclusion Interventional embolization of aneurysms can effectively improve the clinical symptoms of patients and reduce the incidence of complications.

关 键 词：动脉瘤介入栓塞术 颅内动脉瘤夹闭术 aSAH 临床疗效 

分 类 号：R651.12[医药卫生—外科学]