血管栓塞介入治疗脑动脉瘤的临床效果及对并发症发生率的影响分析  

Analysis of the clinical effect of vascular embolization intervention for cerebral aneurysm and its influence on the complication rate

作　　者：张博文 朱迪[1] 梁旭光[1] ZHANG Bo-wen;ZHU Di;LIANG Xu-guang(Second Department of Neurosurgery,Chifeng Hospital,Chifeng 024000,China)

机构地区：[1]赤峰市医院神经外二科,024000

出　　处：《中国现代药物应用》2022年第15期58-60,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析脑动脉瘤患者给予血管栓塞介入治疗的效果。方法30例脑动脉瘤患者,按照数字1∶1分组方法分为对照组及观察组,每组15例。对照组采用传统开颅夹闭术治疗,观察组采用血管栓塞介入治疗。比较两组患者治疗效果、临床手术相关指标及术后并发症发生情况。结果观察组手术时间(60.75±2.98)min与住院时间(7.80±0.98)d均短于对照组的(82.66±1.98)min、(14.90±1.00)d,术中出血量(110.85±8.85)ml少于对照组的(199.50±7.98)ml,差异有统计学意义(P<0.05)。观察组治疗总有效率93.33%高于对照组的60.00%,差异有统计学意义(P<0.05)。观察组术后并发症发生率6.67%(1/15)低于对照组的46.67%(7/15),差异有统计学意义(P<0.05)。结论脑动脉瘤患者临床治疗中给予血管栓塞介入治疗,效果理想,术后并发症发生率较低,且各项手术指标相比传统方法均有显著优势,可推广于临床实践中。Objective To analyze the effect of vascular embolization intervention on cerebral aneurysm.Methods A total of 30 patients with cerebral aneurysm were divided into control group and observation group according to the number 1∶1 grouping method,with 15 cases in each group.The control group was treated with conventional craniotomy and clipping,and the observation group was treated with vascular embolization intervention.The therapeutic effect,surgery-related indicators and postoperative complications were compared between the two groups.Results The operation time(60.75±2.98)min and hospitalization time(7.80±0.98)d in the observation group were shorter than(82.66±1.98)min and(14.90±1.00)d in the control group,and the intraoperative blood loss(110.85±8.85)ml was less than(199.50±7.98)ml in the control group.All the differences were statistically significant(P<0.05).The total effective rate 93.33%of the observation group was higher than 60.00%of the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate in the observation group was 6.67%(1/15),which was lower than 46.67%(7/15)in the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical treatment of patients with cerebral aneurysm,the interventional treatment of vascular embolism is ideal,with a low complication rate,and significant advantages in all surgical indexes compared with conventional methods,which can be promoted in clinical practice.

关 键 词：脑动脉瘤 血管栓塞介入 效果 并发症 

分 类 号：R651.12[医药卫生—外科学]