开颅夹闭手术和介入栓塞术治疗颅内动脉瘤破裂的临床效果分析  

Clinical Effect Analysis of Craniotomy Clipping and Interventional Embolization in Treatment of Ruptured Intracranial Aneurysm

作　　者：谭皓 唐权伟 李世权 吴学平 侯成林 戴正军 秦保平 Tan Hao;Tang Quanwei;Li Shiquan;Wu Xueping;Hou Chenglin;Dai Zhengjun;Qin Baoping(Department of Neurosurgery,Shizhu Tujia Autonomous County People's Hospital,Chongqing 409100,China)

机构地区：[1]重庆市石柱土家族自治县人民医院神经外科,重庆409100

出　　处：《中国社区医师》2024年第7期26-28,共3页Chinese Community Doctors

摘　　要：目的:探讨开颅夹闭手术和介入栓塞术治疗颅内动脉瘤破裂的临床效果。方法:选取2018年3月—2023年3月重庆市石柱土家族自治县人民医院收治的130例颅内动脉瘤破裂患者作为研究对象,采用随机数字表法分为对照组(n=83)和研究组(n=47)。对照组实施开颅夹闭手术,研究组实施介入栓塞术。比较两组临床效果、临床指标、并发症情况。结果:两组治疗效果总优良率比较,差异无统计学意义(P>0.05)。研究组手术时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.001)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:开颅夹闭手术和介入栓塞术治疗颅内动脉瘤破裂的临床效果相当,但介入栓塞术手术时间短,手术创伤小,更利于患者术后康复。Objective:To investigate the clinical effect of craniotomy clipping and interventional embolization in the treatment of ruptured intracranial aneurysm.Methods:From March 2018 to March 2023,130 patients with ruptured intracranial aneurysm admitted to Chongqing Shizhu Tujia Autonomous County People's Hospital were selected as the study subjects.They were divided into control group(n=83)and study group(n=47)according to random number table method.The control group underwent craniotomy clipping and the study group underwent interventional embolization.The clinical effects,clinical indicators and complications of the two groups were compared.Results:There was no significant difference in the total good rate of therapeutic effects between the two groups(P>0.05).The operation time and length of hospital stay in the study group were shorter than those in the control group,while intraoperative blood loss in the study group was less than that in the control group,and the difference was statistically significant(P<0.001).There was no difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Craniotomy clipping and interventional embolization have comparable clinical effects in the treatment of ruptured intracranial aneurysm,but interventional embolization has shorter operation time and fewer surgical trauma,and it is more conducive to postoperative rehabilitation of patients.

关 键 词：破裂颅内动脉瘤 开颅夹闭手术 介入栓塞治疗 

分 类 号：R651.12[医药卫生—外科学]