脑血管内介入与开颅手术治疗颅内微小动脉瘤的临床研究  

Clinical comparative study of intracerebrovascular intervention and craniotomy in the treatment of intracranial microaneurysms

作　　者：王彬[1] 农胜德 叶静[1] 韦聘 Wang Bin;Nong Shengde;Ye Jing;Wei Pin(Department of Neurosurgery,Baise People's Hospital,Baise,Guangxi 533000,China)

机构地区：[1]百色市人民医院神经外科,广西百色533000

出　　处：《中国微侵袭神经外科杂志》2023年第12期77-80,共4页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：百色市科学研究与技术开发计划(编号:百科20184707)。

摘　　要：目的比较脑血管内介入与开颅手术对颅内微小动脉瘤的疗效。方法回顾性分析80例颅内微小动脉瘤病例资料,根据手术方式不同分为实验组(n=45)与对照组(n=35)。对照组行开颅夹闭手术治疗,实验组行脑血管内介入栓塞术治疗。对比两组患者的动脉致密闭塞率、术后并发症发生率、治疗费用与治疗时间、预后情况以及生活质量评分等指标,评价两种治疗手段差异。结果对两组动脉致密闭塞率进行对比,实验组术后致密闭塞率为66.67%,对照组为57.14%,差异具有统计学意义(P<0.05);两组患者并发症发生率存在显著差异(P<0.05)。两组治疗费用对比,实验组总花费为(13.58±1.22)万元,远远高于对照组(7.65±1.14)万元,差异具有统计学意义(P<0.01)。术后实验组住院时间与康复时间明显少于对照组(P<0.05)。实验组患者生活质量显著优于对照组。结论两种手术方式均能够有效治疗颅内微小动脉瘤,其中脑血管内介入手段对患者创伤较小,术后恢复速度较快,能够明显缩短住院时间与康复时间,但花费较高。Objective To explore the comparison of the therapeutic effects of cerebral endovascular intervention and craniotomy on intracranial microaneurysms.Method A total of 80 patients diagnosed with intracranial aneurysms were retrospectively analyzed.According to different surgical approaches,the patients were randomly divided into an experimental group of 45 cases and a control group of 35 instances.The control group received craniotomy and clipping surgery,while the experimental group received intracerebrovascular embolization.During the process,indicators such as the arterial dense embolism rate,postoperative complication rate,treatment cost and treatment time,postoperative prognosis,and quality of life scores were compared between the two groups of patients to evaluate the differences between the two treatments.Result The rates of dense arterial embolism in the two groups were compared.The experimental group had a greater risk of postoperative dense embolization(66.67%)than the control group(57.14%),the distinction was statistically significant(P<0.05).There was a significant difference in the incidence of complications between the two groups(P<0.05).In the comparison of treatment costs between the two groups,the total cost of the experimental group was(13.58±1.22)million yuan,which was much higher than the cost of the control group(7.65±1.14)million yuan,and there was a statistically significant difference(P<0.01).Following surgery,there was a big difference in the length of stay and recovery time between the two groups of patients,with the length of stay and recovery time in the experimental group being significantly shorter than that in the control group(P<0.05).Furthermore,patients in the experimental group had much higher quality of life than patients in the control group.Conclusion Both surgical methods can effectively treat patients with intracranial microaneurysms.Among them,intracerebrovascular intervention is less invasive to patients,has faster postoperative recovery,and can significantly shorten hospi

关 键 词：颅内动脉瘤 开颅手术 脑血管介入手术 

分 类 号：R651.12[医药卫生—外科学]