不同方式对动脉肿瘤血管内栓塞治疗研究  

Different Ways to Arterial Endovascular Embolization of Tumor

作　　者：张民[1] 李勤朴 冯晓奇 

机构地区：[1]吉林省通化市中心医院神经外科,吉林通化134000

出　　处：《中外医疗》2015年第30期16-17,41,共3页China & Foreign Medical Treatment

摘　　要：目的探讨神经外科动脉肿瘤采用血管内栓塞治疗的临床疗效。方法回顾性分析2010年2月—2015年2月期间在该院治疗的90例颅内破裂动脉瘤患者,其中50例采用血管内栓塞方案治疗(A组),另40例患者采用了开颅显微神经外科夹闭手术治疗(B组),对比两组患者动脉瘤闭塞情况以及临床疗效。结果 A组破裂动脉瘤完全闭塞43例(86.0%),不全闭塞7例(14.0%),B组完全闭塞36例(90%),不全闭塞7例(10%),差异无统计学意义;随访结果显示A组治愈39例,好转7例,3例恶化,1例死亡;B组治愈32例,好转5例,2例恶化,1例死亡,差异无统计学意义(P>0.05)。结论对于颅内破裂动脉瘤的患者应当及早采用血管内栓塞或开颅显微神经外科夹闭手术治疗,均能取得较好的治疗效果,预防动脉瘤再次出血,从而降低病死率。Objective To discuss the clinical efficacy of endovascular embolizational treatment(EVET) for neurosurgery aneurysm. Methods A retrospective analysis was conducted on the 90 cases with ruptured intracranial aneurysm treated in our hospital from February 2010 to February 2015. Of them, 50 cases treated by EVET were set as group A, and other 40 cases treated by microscopic neurosurgery clipping craniotomy surgery were set as group B. And the occlusion of aneurysm and clinical efficacy were compared between the two groups. Results Of the patients in group A, 43 cases(86.0%) had complete aneurysm occlusion, 7 cases(14.0%) had incomplete aneurysm occlusion; of those in group B, 36 cases(90%) had complete aneurysm occlusion, 7 cases(10%) had incomplete aneurysm occlusion, which demonstrated that the difference between the two groups was not statistically significant. The results of follow-up showed that in group A, the disease was cured in 39 cases, improved in 7 cases, deteriorated in 3 cases, and death occurred in1 case; in group B, the disease was cured in 32 cases, improved in 5 cases, deteriorated in 2 cases, and death occurred in 1 case; which indicated that the difference between the two groups was not statistically significant(P>0.05). Conclusion For patients with ruptured intracranial aneurysm,early application of EVET or microscopic clipping neurosurgery craniotomy surgery can achieve a good clinical effect, which can prevent the rebleeding of aneurysm and reduce the mortality.

关 键 词：神经外科 动脉肿瘤 血管内栓塞 显微神经外科夹闭 

分 类 号：R651.1[医药卫生—外科学]