血管内介入栓塞术与开颅夹闭术治疗颅内动脉瘤破裂出血的效果对比  

Comparison of Effects of Intravascular Interventional Embolization and Craniotomy Clipping in the Treatment of Intracranial Aneurysm Rupture and Bleeding

作　　者：郑家地[1] 张金锋 林嘉涌 ZHENG Jiadi;ZHANG Jinfeng;LIN Jiayong(Xiamen Traditional Chinese Medicine Hospital,Xiamen 361000,China;不详)

机构地区：[1]厦门市中医院,福建厦门361000

出　　处：《中外医学研究》2024年第34期130-133,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较血管内介入栓塞术与开颅夹闭术治疗颅内动脉瘤破裂出血的效果。方法:选择2021年1月—2022年12月于厦门市中医院神经外科接受手术治疗的100例颅内动脉瘤破裂患者作为研究对象,根据手术方法不同将患者分为观察组(血管内介入栓塞术)和对照组(开颅夹闭术),各50例。比较两组围手术期指标、临床疗效、并发症及生活质量。结果:观察组术中出血量少于对照组,住院时间短于对照组,并发症发生率低于对照组,术后6个月生活质量评分高于对照组,差异有统计学意义(P<0.05);两组手术时间、术后1个月总有效率比较,差异无统计学意义(P>0.05)。结论:与开颅夹闭术相比,颅内动脉瘤破裂出血患者采用血管内介入栓塞术治疗,可减少术中出血量,缩短住院时间,保证临床疗效,降低并发症发生率并提高术后生活质量。Objective:To compare the effects of intravascular interventional embolization and craniotomy clipping in the treatment of intracranial aneurysm rupture and bleeding.Method:A total of 100 patients with intracranial aneurysm rupture and bleeding who underwent surgical treatment in the Department of Neurosurgery,Xiamen Traditional Chinese Medicine Hospital from January 2021 to December 2022 were selected as the research objects,the patients were divided into the observation group(intravascular interventional embolization)and the control group(craniotomy clipping)according to different surgical methods,50 cases in each group.The perioperative indicators,clinical efficacy,complications and quality of life were compared between two groups.Result:The intraoperative blood loss in the observation group was less than that in the control group,the hospitalization time was shorter than that in the control group,the incidence of complications was lower than that in the control group,and the quality of life score at 6 months after operation was higher than that in the control group,the differences were statistically significant(P<0.05).There were no significant differences in operation time and total effective rate 1 month after operation between the two groups(P>0.05).Conclusion:Compared with craniotomy clipping,intravascular interventional embolization for patients with intracranial aneurysm rupture and bleeding can reduce intraoperative blood loss,shorten hospitalization time,ensure clinical efficacy,reduce complications and improve postoperative quality of life.

关 键 词：血管内介入栓塞术 开颅夹闭术 颅内动脉瘤破裂出血 围手术期指标 并发症 

分 类 号：R651.12[医药卫生—外科学]