血管内介入栓塞术与显微手术夹闭治疗脑动脉瘤的临床疗效  

Clinical efficacy of endovascular interventional embolization and microsurgical clipping in the treatment of cerebral aneurysms

作　　者：赵军 吴胜波 李品群 方洪伟 王钟玄 范贝贝 ZHAO Jun;WU Shengbo;LI Pinqun;FANG Hongwei;WANG Zhongxuan;FAN Beibei(Department of Neurosurgery,946 Hospital of PLA Land Force,Yining,Xinjiang,835000,China)

机构地区：[1]解放军陆军第九四六医院神经外科,新疆伊宁835000

出　　处：《当代医学》2023年第4期145-147,共3页Contemporary Medicine

摘　　要：目的探讨血管内介入栓塞术与显微手术夹闭治疗脑动脉瘤的临床疗效和安全性。方法选取2018年5月至2020年5月本院收治的82例脑动脉瘤患者作为研究对象,按随机数字表法分为两组,各41例。对照组行显微手术夹闭治疗,观察组行血管内介入栓塞术治疗,比较两组近期预后情况、围手术期指标和并发症发生率。结果两组近期预后优良率比较差异无统计学意义。观察组手术时间和住院时间为(148.69±7.52)min、(11.57±2.13)d,均短于对照组的(157.96±8.14)min、(16.32±2.79)d,差异有统计学意义(P<0.05)。观察组并发症发生率为12.20%,低于对照组的31.71%,差异有统计学意义(P<0.05)。结论血管内介入栓塞术与显微手术夹闭治疗脑动脉瘤近期预后效果均较理想,但血管内介入栓塞术创伤更小,利于降低术后并发症风险。Objective To investigate the clinical efficacy and safety of endovascular interventional embolization and microsurgical clipping in the treatment of cerebral aneurysms.Methods 82 patients with cerebral aneurysms admitted to our hospital from May 2018 to May 2020 were se-lected as the study subjects,they were divided into two groups according to the method of random number table,with 41 patients in each group.The control group was treated with microsurgical clipping and the observation group was treated with endovascular interventional embolization,the short-term prognosis,perioperative indicators and incidence of complication were compared between the two groups.Results There was no significant difference in the excellent and good short-term prognosis between the two groups.The operation time and hospital stay in the observation group were(148.69±7.52)min and(11.57±2.13)d,which were shorter than(157.96±8.14)min,(16.32±2.79)d in the control group,and the differences were sta-tistically significant(P<0.05).The incidence of complications in the observation group was 12.20%,which was lower than 31.71%in the control group,and the difference was statistically significant(P<0.05).Conclusion Endovascular interventional embolization and microsurgical clipping in the treatment of cerebral aneurysms have good short-term prognosis,but the trauma of endovascular interventional embolization is less,which is ben-eficial to reduce the risk of postoperative complications.

关 键 词：脑动脉瘤 血管内介入栓塞术 显微手术夹闭 近期预后 并发症 

分 类 号：R651.12[医药卫生—外科学]