显微手术夹闭与血管栓塞术在脑动脉瘤治疗中的疗效  

The Effect of Microsurgical Clipping and Vascular Embolization in the Treatment of Cerebral Aneurysms

作　　者：石瑞成[1] SHI Ruicheng(Department of Neurosurgery,the First Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia Autonomous Region,014010 China)

机构地区：[1]内蒙古科技大学包头医学院第一附属医院神经外科,内蒙古包头014010

出　　处：《中外医疗》2021年第23期38-41,共4页China & Foreign Medical Treatment

摘　　要：目的研究分析应用手术夹闭与血管栓塞术在脑动脉瘤治疗中的治疗效果。方法方便选取该院于2018年3月—2020年4月收治的脑动脉瘤患者74例。应用计算机数字随机排序的方式将患者分为A组(37例,应用血管栓塞术治疗)和研究组(37例,应用显微手术夹闭),对比两组患者临床手术效果、治疗有效率以及并发症发生率。结果B组患者手术时间(94.55±9.17)min、术中出血量(124.63±14.65)mL、视觉模拟评分法(VAS)评分(4.88±2.15)分及术后恢复时间(8.25±0.99)d与A组(76.48±7.35)min、(105.95±11.63)mL、(2.35±1.07)分、(15.84±2.55)d比较,差异有统计学意义(P<0.05);B组并发症发生率(5.41%)明显低于A组(24.32%),差异有统计学意义(χ^(2)=5.232,P=0.022);两组治疗有效率对比,差异无统计学意义(P>0.05)。结论显微手术夹闭与血管栓塞术对脑动脉瘤的治疗效果差异不大,但显微手术夹闭在并发症的预防上表现更佳,患者可根据自己病情特征选择最佳手术方式。Objective To study and analyze the therapeutic effects of surgical clipping and vascular embolization in the treatment of cerebral aneurysms.Methods Conveniently select 74 patients with cerebral aneurysm who were admitted to the hospital from March 2018 to April 2020 were selected.The patients were divided into group A(37 cases,treated with vascular embolization)and study group(37 cases,treated with microsurgical clipping)by computer-digital random sorting,and the clinical operation effect,treatment efficiency and effectiveness and complication rate of the two groups were compared.Results In group B,the operation time(94.55±9.17)min,the intraoperative blood loss(124.63±14.65)mL,the visual analogue scale(VAS)score(4.88±2.15)points and the postoperative recovery time(8.25±0.99)d and A Group(76.48±7.35)min,(105.95±11.63)mL,(2.35±1.07)points,(15.84±2.55)d comparison,the difference was statistically significant(P<0.05).The incidence of complications in group B(5.41%)was significantly lower than that in group A(24.32%),and the difference was statistically significant(χ^(2)=5.232,P=0.022);the effective rate of treatment between the two groups was compared,and the difference was not statistically significant(P>0.05).Conclusion There is little difference between microsurgical clipping and vascular embolization in the treatment of cerebral aneurysms,but microsurgical clipping is better in the prevention of complications,and patients can choose the best surgical method according to their own disease characteristics.

关 键 词：显微手术夹闭 血管栓塞术 脑动脉瘤 并发症 

分 类 号：R5[医药卫生—内科学]