血管内介入栓塞术对隐匿性脑血管畸形出血的疗效  

Effect of Intravascular Interventional Embolization on Occult Cerebrovascular Malformation Bleeding

作　　者：梁上男 李成林[1] 叶原森[1] 吴炎宇 LIANG Shang-nan;LI Cheng-lin;YE Yuan-sen;WU Yan-yu(Maoming People's Hospital,Guangdong Maoming 525000)

机构地区：[1]茂名市人民医院,广东茂名525000

出　　处：《深圳中西医结合杂志》2021年第18期144-146,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨血管内介入栓塞术对隐匿性脑血管畸形(OVMS)出血的疗效。方法:选取茂名市人民医院2019年6月至2021年6月收治的72例OVMS出血患者,随机分为对照组、观察组,各36例。对照组给予切除畸形血管手术治疗,观察组给予血管内介入栓塞术治疗;观察两组患者的临床效果、手术时间及术中出血量以及并发症发生情况。结果:观察组患者治疗总有效率为97.22%,明显高于对照组的80.56%,差异具有统计学意义(P<0.05);观察组患者术中出血量少于对照组,手术时间短于对照组,差异具有统计学意义(P<0.05);随访3个月后,观察组患者并发症发生率为5.56%,低于对照组的30.56%,差异具有统计学意义(P<0.05)。结论:血管内介入栓塞术对OVMS出血的疗效显著,能够有效缩短手术时间,减少术中出血量,降低并发症发生率。Objective To investigate the effect of intravascular interventional embolization on hemorrhage of Occult Cerebrovascular Malformation(OVMS).Methods 72 patients with ovms bleeding treated in Maoming people's Hospital from June 2019 to June 2021 were randomly divided into control group and observation group,with 36 cases in each group.The control group was treated with excision of abnormal blood vessels,and the observation group was treated with intravascular interventional embolization;The clinical effect,operation time,intraoperative bleeding and complications were observed.Results The total effective rate in the observation group was 97.22%,significantly higher than 80.56%in the control group(P<0.05);The amount of intraoperative bleeding in the observation group was less than that in the control group,and the operation time was shorter than that in the control group(P<0.05);After 3 months of follow-up,the incidence of complications was 5.56%in the observation group and 30.56%in the control group(P<0.05).Conclusion Intravascular interventional embolization is effective in the treatment of ovms bleeding,which can effectively shorten the operation time,reduce the amount of intraoperative bleeding and reduce the incidence of complications.

关 键 词：隐匿性脑血管畸形 脑出血 血管内介入栓塞术 

分 类 号：R743.4[医药卫生—神经病学与精神病学]