摘要
目的探讨颅内动脉瘤血管内介入治疗的临床效果。方法我院收治46例颅内动脉瘤患者给予血管内介入治疗,分析治疗后栓塞情况、手术过程中及随访过程中并发症发生情况,治疗前后生活质量改善情况。结果 46例动脉瘤介入手术治疗后,瘤腔完全栓塞33例,次全栓塞12例,不完全栓塞1例。瘤颈4 mm以下完全栓塞率显著高于4 mm及以上,差异有统计学意义(P<0.05)。治疗3个月后Rankin评分显著优于治疗前,差异有统计学意义(P<0.05)。结论在严格掌握适应证的前提下,栓塞成功率高,治疗后患者生活质量显著提高,值得临床推广应用。
Objective To study the clinical effect of endovascular interventional treatment in intracranial aneurysm. Methods 46 patients of intracranial aneurysm were selected as the research object and given the endovascular interventional treatment. The embolism after treatment,the complications in the process of operation and follow-up, the quality of life before and after treatment were analyzed. Results among the46 cases with aneurysm after interventional therapy, complete embolism in tumor cavity occurred in 33 cases, subtotally embolized aneurysm in 12 cases,incomplete embolization in 1 case. The rate of complete embolism with tumor neck under 4 mm was significantly higher than that 4 mm and above, the difference was statistically significant （ P 〈 0.05 ）. Three months after treatment, the Rankin score was significantly better than that before treatment, the difference was statistically significant （P 〈 0.05）. Conclusion If only the indication is properly mastered, the success rate of embolism is high, the quality of life is improved significantly after treatment, which is worthy of clinical popularization and application.
出处
《局解手术学杂志》
2014年第4期403-405,共3页
Journal of Regional Anatomy and Operative Surgery
