显微镜辅助神经内镜治疗颅内破裂动脉瘤的效果及对患者认知功能的影响  

Effect of Microscope-Assisted Neuroendoscopy in the Treatment of Ruptured Intracranial Aneurysms and Its Impact on Cognitive Function of Patients

作　　者：赵海洋[1] 吴环立[2] 秦书彦 ZHAO Haiyang;WU Huanli;QIN Shuyan(1^(st)Ward of Neurosurgery Department,Nanyang Second People's Hospital,Nanyang 473000,China;4^(th)Cardiology Department,Nanyang Second People's Hospital,Nanyang 473000,China)

机构地区：[1]南阳市第二人民医院神经外科一病区,河南南阳473000 [2]南阳市第二人民医院心内四科,河南南阳473000

出　　处：《临床医学工程》2024年第4期391-392,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190601)。

摘　　要：目的探讨显微镜辅助神经内镜治疗颅内破裂动脉瘤患者的临床效果。方法100例颅内破裂动脉瘤患者随机分为两组,对照组采用显微镜下夹闭治疗,观察组采用显微镜辅助神经内镜治疗。比较两组的疗效、预后及认知功能。结果观察组的夹闭不全率低于对照组(P<0.05)。观察组术后5 d、10 d、30 d、60 d的mRS评分均低于对照组,术后30 d、60 d的MoCA评分均高于对照组(P<0.05)。结论显微镜辅助神经内镜治疗颅内破裂动脉瘤可提高夹闭成功率,改善患者的预后及认知功能。Objective To explore the clinical effect of microscope-assisted neuroendoscopy in the treatment of patients with ruptured intracranial aneurysms.Methods 100 patients with ruptured intracranial aneurysms were randomly divided into two groups.The control group was treated with microscopic clipping,and the observation group was treated with microscope-assisted neuroendoscopy.The efficacy,prognosis and cognitive function were compared between the two groups.Results The rate of incomplete occlusion of the observation group was lower than that of the control group(P<0.05).The mRS scores at 5 d,10 d,30 d and 60 d after surgery of the observation group were lower than those of the control group,and the MoCA scores at 30 d and 60 d after surgery were higher than those of the control group(P<0.05).Conclusions Microscope-assisted neuroendoscopy in the treatment of ruptured intracranial aneurysms can improve the success rate of clipping and improve the prognosis and cognitive function of patients.

关 键 词：显微镜 神经内镜 颅内破裂动脉瘤 认知功能 

分 类 号：R730.56[医药卫生—肿瘤]