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作 者:叶世阳 游涛[1] 刘先波[1] YE Shi-yang;YOU Tao;LIU Xian-bo(Department of Neurosurgery,Pingxiang People′s Hospital,Jiangxi Province,Pingxiang 337000,China)
机构地区:[1]江西省萍乡市人民医院神经外科,江西萍乡337000
出 处:《中国当代医药》2021年第25期91-93,共3页China Modern Medicine
基 金:江西省卫生健康委科技计划项目(202140533)。
摘 要:目的探讨基于电子计算机断层扫描血管造影(CTA)三维可视化辅助脑动脉瘤介入术的应用价值。方法选择2018年11月—2020年6月江西省萍乡市人民医院收治的74例脑动脉瘤患者作为研究对象,按交替分组法分为观察组(37例)与对照组(37例)。两组均接受颅内动脉瘤介入手术,对照组采取三维数字减影血管造影(DSA)辅助,观察组采取CTA三维可视化辅助。比较两组患者的手术时间、辐射剂量及术后3个月时格拉斯哥预后评分量表(GOS)评分,并比较两组患者的并发症及复发情况。结果两组患者的手术时间、辐射剂量及术后3个月GOS评分比较,差异无统计学意义(P>0.05);两组的术中血栓、动脉瘤破裂发生率及术后动脉瘤复发率比较,差异无统计学意义(P>0.05);观察组患者的术后穿刺点出血发生率低于对照组,差异有统计学意义(P<0.05)。结论与头颅三维DSA辅助脑动脉瘤介入术比较,使用CTA三维可视化辅助治疗,可较大程度减少术后穿刺点出血的发生,且手术时间、辐射剂量及预后相当,未增加术中血栓形成、动脉瘤破裂发生率及术后动脉瘤复发率。Objective To explore the application value of computerized tomography angiography(CTA)three-dimensional visualization assisted cerebral aneurysm intervention.Methods A total of 74 patients with cerebral aneurysm who were admitted to the Pingxiang People′s Hospital from November 2018 to June 2020 were selected as the research subjects.They were divided into an observation group of 37 cases and a control group of 37 cases according to the alternate grouping method.Both groups received intracranial aneurysm intervention.The control group was assisted by three-dimensional digital subtraction angiography(3D-DSA),and the observation group was assisted by CTA three-dimensional visualization.The operation time,radiation dose and Glasgow outcome scale(GOS)score at 3 months after the operation were compared between the two groups,and the complications and recurrence of the two groups were compared.Results There was no statistically significant difference in the operation time,radiation dose or GOS score of the two groups of patients after 3 months(P>0.05).The incidence of thrombus,aneurysm rupture and postoperative aneurysm recurrence rate were compared between the two groups,and the differences were not statistically significant(P>0.05).The incidence of postoperative puncture point bleeding in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with cranial 3D-DSA assisted cerebral aneurysm intervention,the use of CTA three-dimensional visualization assisted treatment can greatly reduce the incidence of postoperative puncture point bleeding,and the operation time,radiation dose and prognosis are equivalent,without increasing intraoperative thrombosis,the incidence of aneurysm rupture or postoperative aneurysm recurrence rate.
关 键 词:脑动脉瘤 三维电子计算机断层扫描血管造影 介入栓塞术 格拉斯哥预后评分
分 类 号:R743.4[医药卫生—神经病学与精神病学]
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