不同治疗处理方案对颅内动脉瘤介入栓塞复发患者的疗效及神经功能预后的影响  

Effects of Different Treatment Schemes on the Efficacy and Neurofunctional Outcome in Patients With Recurrence of Intracranial Aneurysm by Interventional Embolization

作　　者：刘喜文[1] LIU Xi-wen(The First Division Hospital of Xinjiang Construction Corps,Xinjiang Aksu,843000)

机构地区：[1]新疆生产建设兵团第一师医院神经外科,新疆阿克苏843000

出　　处：《农垦医学》2021年第5期418-421,共4页Journal of Nongken Medicine

摘　　要：目的:探讨不同治疗处理方案对颅内动脉瘤介入栓塞复发患者的疗效及神经功能预后的影响。方法:选取2015年3月至2018年6月我院收治的颅内动脉瘤介入栓塞后复发患者70例,将2015年3月-2016年12月入院的35例患者行开颅夹闭治疗,2017年1月-2018年6月入院的35例患者进行介入栓塞治疗;采用改良Raymond-Roy(MRRC)分级对手术疗效进行评价,采用格拉斯哥预后分级(GOS)对患者的神经功能预后进行评价;比较两组患者手术疗效及神经功能预后。结果:开颅夹闭组患者术后MRRC分级Ⅰ级、Ⅱ级所占比例分别为91.43%(32/35)、8.57%(3/35),介入栓塞组患者术后MRRC分级Ⅰ级、Ⅱ级所占比例分别为94.29%(33/35)、5.71%(2/35),两组比较差异无统计学意义(P>0.05);开颅夹闭组GOS分级Ⅲ级1例,Ⅴ级34例;介入栓塞组患者GOS分级均为Ⅴ级,两组比较无显著差异(P>0.05)。结论:对于颅内动脉瘤栓塞术后再复发的颅内动脉瘤患者,采用开颅夹闭手术和介入栓塞术治疗均有治疗效果,且神经功能预后也较理想。Objective: To investigate the effects of different treatments on efficacy and neurological prognosis in patients with recurrent intracranial aneurysm embolization. Methods:Seventy patients with intracranial aneurysm recurrence after interventional embolization were selected from March 2015 to June 2018 in our hospital.According to different treatment methods, they were divided into craniotomy clipping group(n=35) and interventional embolization group(n=35).Patients in the craniotomy clipping group were treated with craniotomy clipping surgery,and patients in the interventional embolization group were treated with interventional embolization.The modified Raymond-Roy classification(MRRC) was used to evaluate the surgical efficacy,and the Glasgow Outcome Classification(GOS) was used to evaluate the patient’s neurological prognosis.The surgical efficacy and neurological prognosis of the two groups were compared. Results:The proportions of postoperative MRRC grades I and II in the craniotomy clipping group were 91.43%(32/35) and 8.57%(3/35),respectively,andthe proportions were 94.29%(33/35) and 5.71%(2/35)in the interventional embolization group(P>0.05). There was 1 case in the craniotomy clipping group with GOS grade Ⅲ and 34 cases in grade Ⅴ;the GOS grades of patients in the interventional embolization group were in gradeⅤ(P>0.05). Conclusion:For patients with recurrent intracranial aneurysm after intracranial aneurysm embolization,both craniotomy clipping and interventional embolization are effective with ideal neurological prognosis.

关 键 词：颅内动脉瘤 开颅夹闭术 介入栓塞 疗效 

分 类 号：R739.4[医药卫生—肿瘤]