摘要
目的比较开颅夹闭和血管栓塞治疗脑动脉瘤的临床效果与安全性。方法选取2010年2月~2013年3月于本院进行治疗的76例脑动脉瘤患者为研究对象,将其随机分为A组（开颅夹闭治疗组）38例和B组（血管栓塞组）38例,比较两组中不同Hunt-Hess分级者的格拉斯哥预后评分（GOS）结果及并发症发生率、住院时间、复发率。结果两组患者不同Hunt-Hess分级者GOS 5分者的比例及复发率差异无统计学意义（P〉0.05）;B组的并发症发生率低于A组,住院时间短于A组,差异有统计学意义（P〈0.05）。结论开颅夹闭和血管栓塞治疗脑动脉瘤的临床效果无明显差异,血管栓塞的安全性相对更高,患者恢复更快。
Objective To observe and compare the clinical effect and safety of craniotomy clipping and vascular em- bolization in the treatment of cerebral aneurysm.Methods 76 cases of patients with cerebral aneurysm in our hospital from February 2010 to March 2013 were selected,and were randomly divided into group A （craniotomy clipping treat- ment group） 38 cases and group B （vascular embolization group） 38 cases,then the Glasgow outcome scale （GOS） of different Hunt-Hess stages and complications rate,hospitalization time,relapse rate of two groups was compared.Results The different Hunt-Hess stages GOS 5 scores and relapse rate of two groups had no significant difference （P〉0.05）; while the complications rate of group B was lower than that of group A,hospitalization time was shorter than that of group A, the difference was significant （P〈O.OS）.Conclusion The clinical effect of craniotomy clipping and vascular em- bolization in treatment of cerebral aneurysm is not obviously different, the safety of vascular embolization is respectively higher,the recovery of patients is faster.
出处
《中国当代医药》
2014年第9期194-195,198,共3页
China Modern Medicine
关键词
血管栓塞
开颅夹闭治疗
脑动脉瘤
临床效果
安全性
Vascular embolization
Craniotomy clipping
Cerebral aneurysm
Clinical effect
Safety
