开颅夹闭术与血管内介入栓塞对老年脑动脉瘤临床治疗的有效性分析  

Analysis of the Effectiveness of Craniotomy and Intravascular Embolization in the Clinical Treatment of Elderly Cerebral Aneurysms

作　　者：陈明波[1] CHEN Ming-bo(Department of Neurointervention,The First People's Hospital of Qujing City,Qujing,Yunnan Province,655000 China)

机构地区：[1]云南省曲靖市第一人民医院神经介入科,云南曲靖655000

出　　处：《中外医疗》2021年第2期86-88,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对老年脑动脉瘤患者分别采用开颅夹闭术以及血管内介入栓塞术进行治疗后获得临床效果。方法方便选取该院2016年8月—2019年4月收治的84例老年脑动脉瘤患者,按数字奇偶法分组;治疗组(42例)采用血管内介入栓塞术展开脑动脉瘤治疗;对照组(42例)采用开颅夹闭术展开脑动脉瘤治疗;就组间围手术期系列指标、术后随访预后结果以及术后并发症数据展开对比。结果治疗组老年脑动脉瘤患者住院时长(11.07±2.05)d、手术时长(2.16±0.53)d明显短于对照组(15.31±2.36)d、(2.93±0.51)d,差异有统计学意义(t=8.790、6.784,P<0.05);治疗组老年脑动脉瘤患者恢复良好率(88.10%)明显高于对照组(28.57%),轻度残疾率(4.76%)、重度残疾率(4.76%)以及植物生存率或病死率(2.38%)均明显低于对照组(28.57%、23.81%、19.05%),差异有统计学意义(χ^(2)=30.612、8.571、6.222、4.480,P<0.05);治疗组老年脑动脉瘤患者术后并发症数据(14.29%)明显低于对照组(40.48%),差异有统计学意义(χ^(2)=7.244,P<0.05)。结论血管内介入栓塞术的有效运用,可使得老年脑动脉瘤患者住院时长、手术时长获得缩短,使得患者恢复良好率显著提升,将轻度残疾率、重度残疾率以及植物生存率或病死率显著降低,将术后并发症充分减少,最终实现老年脑动脉瘤患者有效预后。Objective To explore the clinical results obtained after craniotomy and endovascular embolization in elderly patients with cerebral aneurysms.Methods Convenient select the 84 elderly patients with cerebral aneurysms admitted to the hospital from August 2016 to April 2019 were divided into groups by digital parity.The treatment group(42 cases)was treated with intravascular embolization for cerebral aneurysm;the control group(42 cases)used craniotomy and clipping to treat cerebral aneurysms;a series of perioperative indicators,postoperative follow-up prognosis results and postoperative complications data were compared between groups.Results The length of hospitalization(11.07±2.05)d and operation time(2.16±0.53)d of elderly patients with cerebral aneurysm in the treatment group were shorter than those in the control group(15.31±2.36)d and(2.93±0.51)d,the difference was statistically significant(t=8.790,6.784,P<0.05);the recovery rate of elderly patients with cerebral aneurysm in the treatment group(88.10%)was significantly higher than that of the control group(28.57%).The rate of mild disability(4.76%),severe disability(4.76%),and the survival rate of plants or mortality rate(2.38%)was significantly lower than that of the control group(28.57%,23.81%,19.05%),the difference was statistically significant(χ^(2)=30.612,8.571,6.222,4.480,P<0.05);the post-complication data of the treatment group of elderly patients with cerebral aneurysm surgery(14.29%)was significantly lower than the control group(40.48%),the difference was statistically significant(χ^(2)=7.244,P<0.05).Conclusion The effective application of endovascular interventional embolization can shorten the length of hospitalization and operation time for elderly patients with cerebral aneurysm,significantly increase the recovery rate of patients,and reduce the rate of mild disability,severe disability,and plant survival or mortality,significantly reduce postoperative complications,and finally achieve an effective prognosis for elderly patients with cerebral

关 键 词：开颅夹闭术 血管内介入栓塞 老年脑动脉瘤 围手术期指标 术后随访预后 术后并发症 

分 类 号：R4[医药卫生—临床医学]