经血管内介入栓塞治疗脑动脉瘤破裂的有效性及对患者预后的影响分析  

Analysis of Effectiveness and Prognosis of Patients with Ruptured Cerebral Aneurysm Treated by Transcatheter Embolization

作　　者：刘宏[1] 何明方[1] 王运锋 LIU Hong;HE Mingfang;WANG Yunfeng(Department of Cerebrovascular Disease,Guangyuan Central Hospital,Guangyuan,Sichuan Province,628000 China;Department of Neurology,Nanchong Central Hospital,Nanchong,Sichuan Province,637000 China)

机构地区：[1]四川省广元市中心医院脑血管病科,四川广元628000 [2]南充市中心医院神经内科,四川南充637000

出　　处：《系统医学》2023年第4期1-4,共4页Systems Medicine

基　　金：南充市社会科学研究“十三五”规划项目(2019B028)。

摘　　要：目的探讨经血管内介入栓塞治疗脑动脉瘤破裂的治疗效果,并就患者的预后展开评价。方法回顾性分析2020年6月—2022年5月广元市中心医院收治的74例脑动脉瘤破裂患者的临床资料,按照治疗方案差异分组,其中采用开颅夹闭手术治疗的纳入开颅组(n=37),采用血管内介入栓塞治疗的纳入介入组(n=37)。比较两组患者手术时间、住院时间、并发症情况及预后。结果介入组手术时间、住院时间为(2.19±0.38)h、(10.96±2.52)d,短于开颅组的(3.15±0.45)h、(16.75±3.02)d,差异有统计学意义(t=9.915、8.954,P<0.05)。介入组并发症发生率为24.32%,略低于开颅组的29.73%,但差异无统计学意义(P>0.05)。介入组预后优良率达78.38%,高于开颅组的56.76%,差异有统计学意义(χ^(2)=3.947,P<0.05)。结论经血管介入栓塞治疗脑动脉瘤破裂不会增加术后并发症的发生风险,且可缩短手术时间和住院时间,获得更理想的预后效果。Objective To investigate the therapeutic effect of transcatheter embolization in the treatment of ruptured cerebral aneurysm,and to evaluate the prognosis of patients.Methods A retrospective analysis was conducted on the clinical data of 74 patients with ruptured cerebral aneurysms admitted to Guangyuan Central Hospital from June 2020 to May 2022.They were grouped according to different treatment plans,with those who underwent craniotomy clipping surgery included in the craniotomy group(n=37)and those who underwent transcatheter embolization treatment included in the intervention group(n=37).Compared the surgical time,hospital stay,complications,and prognosis between the two groups of patients.Results The surgical time and hospitalization time in the intervention group were(2.19±0.38)h and(10.96±2.52)d,which were shorter than those in the craniotomy group(3.15±0.45)h and(16.75±3.02)d,and the difference was statistically significant(t=9.915,8.954,P<0.05).The incidence of complications in the intervention group was 24.32%,slightly lower than the 29.73%in the craniotomy group,but the difference was not statistically significant(P>0.05).The excellent and good prognosis rate in the intervention group was 78.38%,higher than 56.76%in the craniotomy group,and the difference was statistically significant(χ^(2)=3.947,P<0.05).Conclusion Transcatheter arterial embolization for the treatment of ruptured cerebral aneurysms does not increase the risk of postoperative complications,and can shorten the surgical time and hospital stay,achieving a more ideal prognosis.

关 键 词：脑动脉瘤破裂 经血管介入栓塞 并发症 预后 

分 类 号：R4[医药卫生—临床医学]