早期介入手术治疗宽颈脑动脉瘤破裂的临床效果分析  

Clinical effect of early interventional surgery for ruptured wide-neck cerebral aneurysm

作　　者：秦保平 吴学平 侯成林 谭皓 唐权伟 杨廷军[1] QIN Bao-ping;WU Xue-ping;HOU Cheng-lin(Shizhu Tujia Autonomous County People's Hospital,Chongqing 409100,China)

机构地区：[1]重庆市石柱土家族自治县人民医院,409100

出　　处：《中国实用医药》2022年第15期36-39,共4页China Practical Medicine

摘　　要：目的 观察宽颈脑动脉瘤破裂采用早期介入手术治疗的临床效果,为宽颈脑动脉瘤破裂患者优质治疗提供数据支持。方法 60例宽颈脑动脉瘤破裂患者,依据入院日期分为早期B组(双号)与常规M组(单号),各30例。两组均采用栓塞介入手术治疗,常规M组患者采用常规治疗,于入院3 d后进行介入手术治疗;早期B组患者采用早期介入手术治疗,于入院3 d内进行介入手术治疗。对比两组治疗15 d后日常生活活动能力(MBI)评分、术后并发症发生情况、术中出血情况、栓塞治疗效果。结果 早期B组进食、洗澡、修饰、穿衣、大便控制、小便控制、如厕、转移、活动、上下楼梯评分分别为(8.92±0.26)、(3.47±0.32)、(3.85±0.25)、(8.32±0.18)、(8.47±0.21)、(8.52±0.24)、(8.55±0.11)、(13.59±0.57)、(13.67±0.14)、(8.85±0.22)分,均高于常规M组的(6.74±0.14)、(2.55±0.32)、(2.56±0.27)、(6.49±0.33)、(6.63±0.18)、(6.75±0.29)、(6.37±0.27)、(11.24±0.32)、(11.11±0.25)、(6.25±0.32)分,差异有统计学意义(P<0.05)。早期B组术后并发症发生率3.33%明显低于常规M组的23.33%,差异有统计学意义(P<0.05)。两组术中出血率对比,差异无统计学意义(P>0.05)。早期B组栓塞成功率96.67%明显高于常规M组的80.00%,差异有统计学意义(P<0.05)。结论 采用早期介入手术治疗宽颈脑动脉瘤破裂患者,此种手段明显优于常规治疗,可以有效降低患者并发症发生率,值得临床推广应用。Objective To observe the clinical effect of early interventional surgery for ruptured wide-neck cerebral aneurysm,and provide data support for the high-quality treatment of patients with ruptured wide-necked cerebral aneurysms.Methods A total of 60 patients with ruptured wide-necked cerebral aneurysm were divided into early group B(double number)and conventional group M(single number)according to the admission date,with 30 cases in each group.Both groups were treated with embolization interventions.Patients in conventional group M were treated conventionally and underwent interventions after 3 d of admission,while patients in early group B were treated with early interventions and underwent interventions within 3 d of admission.The modified Barthel index(MBI)score after 15 d of treatment,postoperative complications,intraoperative bleeding,and embolization treatment effect were compared between the two groups.Results The scores of eating,bathing,grooming,dressing,bowel control,urine control,toileting,transferring,activity,and stair climbing scores in early group B were(8.92±0.26),(3.47±0.32),(3.85±0.25),(8.32±0.18),(8.47±0.21),(8.52±0.24),(8.55±0.11),(13.59±0.57),(13.67±0.14),and(8.85±0.22)points,which were higher than(6.74±0.14),(2.55±0.32),(2.56±0.27),(6.49±0.33),(6.63±0.18),(6.75±0.29),(6.37±0.27),(11.24±0.32),(11.11±0.25),and(6.25±0.32)points in conventional group M,and the differences were statistically significant(P<0.05).The postoperative complication rate of early group B was 3.33%,which was significantly lower than 23.33%of conventional group M,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the intraoperative bleeding rate between the two groups(P>0.05).The embolization success rate of early group B was 96.67%,which was significantly higher than 80.00%of conventional group M,and the difference was statistically significant(P<0.05).Conclusion Early interventional surgery has better efficacy in the treatment of ruptured wide-

关 键 词：宽颈脑动脉瘤破裂 早期介入手术 临床效果 

分 类 号：R651.12[医药卫生—外科学]