三维DSA与CTA辅助经翼点入路夹闭破裂前交通动脉瘤的有效性和安全性比较  

Comparison of the Efficacy and Safety of Three-dimensional DSA and CTA Assisted Transpterional Approach in Clipping Ruptured Anterior Communicating Aneurysm

作　　者：高永开 李慧敏 GAO Yong-kai;LI Hui-min(Department of Neurosurgery,Yan'an People's Hospital,Yan'an Shaanxi 716000)

机构地区：[1]延安市人民医院神经外科,陕西延安716000 [2]韩城市人民医院神经外科,陕西韩城715400

出　　处：《医学临床研究》2022年第10期1557-1559,共3页Journal of Clinical Research

摘　　要：【目的】比较三维数字减影血管造影(DSA)与CT血管成像(CTA)辅助经翼点入路夹闭破裂前交通动脉瘤的有效性和安全性。【方法】选2018年1月至2021年1月延安市人民医院收治的96例拟行经翼点入路夹闭手术的破裂前交通动脉瘤患者,根据术前不同的检查方法将其分为观察组和对照组,每组48例。观察组术前行DSA检查,对照组术前行CTA检查。比较两组患者手术时间、术中出血量、住院时间、前交通动脉瘤完全夹闭例数,比较两组患者并发症发生情况。【结果】两组患者性别、年龄、Hunt-Hess分级、瘤体直径比较,差异均无统计学意义(P>0.05)。两组患者手术时间、术中出血量、住院时间比较,差异均无统计学意义(P>0.05)。两组患者前交通动脉瘤完全夹闭数比较,差异无统计学意义(P>0.05)。两组患者出院时格拉斯哥预后评分(GOS评分)比较,差异无统计学意义(P>0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。【结论】三维DSA、CTA辅助经翼点入路夹闭破裂前交通动脉瘤患者效果相当,患者预后良好,且不会明显增加并发症发生率,均安全可靠。【Objective】To compare the efficacy and safety of three-dimensional DSA and CTA assisted transpterional approach in clipping ruptured anterior communicating aneurysm.【Methods】From January 2018 to January 2021,96 patients with pre ruptured communicating aneurysm who were admitted to Yan'an People's Hospital and planned to undergo pterional approach clipping surgery were selected,and they were divided into observation group and control group according to different preoperative examination methods,with 48 cases in each group.DSA was performed before operation in the observation group,and CTA was performed before operation in the control group.The operation time,intraoperative blood loss,hospital stay,number of cases of complete clipping of anterior communicating artery aneurysm,and complications of the two groups were compared.【Results】There was no significant difference in gender,age,Hunt Hess grade and tumor diameter between the two groups(P>0.05).There was no significant difference between the two groups in terms of operation time,intraoperative bleeding and hospital stay(P>0.05).There was no significant difference in the number of complete clipping of anterior communicating aneurysm between the two groups(P>0.05).There was no significant difference in GOS scores between the two groups at discharge(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).【Conclusion】The effect of three-dimensional DSA and CTA assisted transpterional approach in clipping the ruptured anterior communicating artery aneurysm is similar,the prognosis of the patients is good,and the incidence of complications will not increase significantly,both are safe and reliable.

关 键 词：颅内动脉瘤/外科学 血管造影术 数字减影 体层摄影术 X线计算机 显微外科手术 

分 类 号：R651.122[医药卫生—外科学]