摘要
目的 探讨显微外科手术在颅内动脉瘤治疗中的应用价值.方法 选取2011年1月至2013年1月我院收治的90例颅内动脉瘤患者,随机将其分成血管内介入组45例和显微外科夹闭组45例,其中血管内介入组患者采用血管内介入治疗,显微外科夹闭组患者采用显微外科夹闭治疗,比较两组患者动脉瘤闭塞和复发情况以及住院时间、并发症及预后情况.结果 血管内介入组患者的完全闭塞率为88.9％（40/45）、复发率为13.3％（6/45）,显微外科夹闭组患者的完全闭塞率为97.8％ （44/45）、复发率为2.2％（1/45）,显微外科夹闭组患者的完全闭塞率明显高于血管内介入组患者（χ2=4.34,P=0.031）、复发率明显低于血管内介入组患者（χ2=3.54,P=0.042）;血管内介入组患者的平均住院时间为（19.3＆#177;4.4）d,明显长于显微外科夹闭组患者的平均住院时间为（16.3＆#177;4.9）d（t=1.93,P=0.035）;显微外科夹闭组患者的预后良好率91.1％（41/45）,明显高于血管内介入组患者77.8％（35/45）（χ2=6.33,P=0.012）.结论 显微外科夹闭术能够明显提高颅内动脉瘤患者的动脉瘤闭塞率、降低复发率、减少住院时间、改善预后情况,值得临床推广应用.
Objective To investigate the applicative value of micro-surgery in the treatment of cerebral aneurysms.Methods During January 2011 to January 2013 in our hospital,90 patients with cerebral aneurysm were randomly divided into the endovascular group and the microsurgical clipping group （n =45 each）.The endovascular group were treated with endovascular interventional treatment,and the patients of the microsurgical clipping group were treated with microsurgical clipping treatment.The aneurysm occlusion rate and recurrence,time of hospital stay,complications and prognosis were compared between the two groups.Results The complete occlusion rate was higher [97.8% （44/45） vs.88.9% （40/45） and the recurrence rate was lower 2.2% （1/45） vs.13.3%（6/45） in microsurgical clipping group than in endovascular intervention group χ2 =4.34 and 3.54,P=0.031 and 0.042）,all P〈0.o5.The average time of hospital stay was longer in the endovascular intervention group than in the microsurgical clipping group [（19.3 4.4） days vs.（16.34.9） days,t 1.93,P=0.035].The good rate was higher in microsurgical clipping group than in endovascular intervention group [91.1% （41/45） vs.77.8% （35/45）,χ2=6.325,P=0.012].Conclusions Microsurgical clipping surgery can significantly raise the complete occlusion of cerebral aneurysms,reduce recurrence in patients with cerebral aneurysm,decrease the hospitalization time,and improve prognosis,which is worthy of clinical application.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2015年第4期362-364,共3页
Chinese Journal of Geriatrics
关键词
颅内动脉瘤
磁共振成像
介入性
显微外科手术
Intracranial aneurysm
Magnetic resonance imaging,interventional
Microsurgery
