开颅夹闭术与血管内介入栓塞术治疗颅内动脉瘤的临床分析  

Clinical analysis of craniotomy and clipping and endovascular interventional embolization in the treatment of intracranial aneurysm

作　　者：韦继明[1] 罗铸[1] 冯磊[1] 蒙海滨[1] Wei Jiming;Luo Zhu;Feng Lei;Meng Haibin(Department of Neurosurgery,Hechi People's Hospital,Hechi 547000,Guangxi,China)

机构地区：[1]河池市人民医院神经外科,广西河池547000

出　　处：《血管与腔内血管外科杂志》2022年第8期979-982,共4页Journal of Vascular and Endovascular Surgery

基　　金：河池市科学研究与技术开发计划项目(河科转1623-39)。

摘　　要：目的探讨开颅夹闭术与血管内介入栓塞术治疗颅内动脉瘤的临床效果。方法选取2019年1月至2020年6月河池市人民医院收治的80例颅内动脉瘤患者作为研究对象,采用随机数字表法将患者分为对照组和治疗组,每组40例。对照组采用开颅夹闭术治疗,治疗组采用血管内介入栓塞术治疗。比较两组患者的手术时间、术中出血量、治疗费用、术后并发症发生情况、治愈率、住院周转率、治疗费用及术后1年复发率。结果治疗组患者的手术时长短于对照组患者,术中出血量少于对照组患者,治疗费用高于对照组患者,差异均有统计学意义(P<0.05)。治疗组患者的术后并发症发生率低于对照组患者,差异有统计学意义(P<0.05)。两组患者的治愈率、住院周转率、术后1年复发率比较,差异均无统计学意义(P>0.05)。结论开颅夹闭术与血管内介入栓塞术治疗颅内动脉瘤各具优势,其中,开颅夹闭术的治疗费用较低,而血管内介入栓塞术的手术时间更短,创伤更小,并发症发生率更低,患者可根据自身情况选择合适的术式进行治疗。Objective To investigate the clinical effect of craniotomy and clipping and endovascular interventional embolization in the treatment of the intracranial aneurysm.Method A total of 80 patients with intracranial aneurysms admitted to Hechi People's Hospital from January 2019 to June 2020 were selected as the research subjects.The patients were divided into the control group and the treatment group by random number table method with 40 cases in each group.The control group was treated with craniotomy and clipping,and the treatment group was treated with endovascular interventional embolization.The operation time,intraoperative blood loss,treatment cost,postoperative complications,cure rate,hospital turnover rate,treatment cost,and 1-year postoperative recurrence rate were compared between the two groups.Result The operation time of the treatment group was shorter than that of the control group,the intraoperative blood loss volume was lower than that of the control group,the treatment cost was higher than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the cure rate,hospital turnover rate,and 1-year recurrence rate between the two groups(P>0.05).Conclusion Both craniotomy and clipping and endovascular embolization have their advantages in the treatment of intracranial aneurysms.Among them,craniotomy and clipping have lower treatment costs,while endovascular interventional embolization has a shorter operation time,less trauma,and lower complication rate.Therefore,patients can choose the appropriate surgical treatment according to their conditions.

关 键 词：开颅夹闭术 血管内介入栓塞术 颅内动脉瘤 住院周转 临床效果 

分 类 号：R543[医药卫生—心血管疾病]