摘要
目的比较血管内介入与外科手术夹闭治疗颅内动脉瘤的临床效果。方法选取笔者从事神经介入以来于2013年1月至2017年1月收治的50例颅内动脉瘤患者,其中对照组(25例)采用血管内介入治疗,观察组(25例)采用外科手术夹闭治疗。对比两组患者的治疗效果、并发症发生率、复发率及住院时间。结果两组患者的优良率、并发症发生率比较差异均无统计学意义(P>0.05)。观察组的住院时间长于对照组,术后复发率低于对照组(P均<0.05)。结论血管内介入与外科手术夹闭治疗颅内动脉瘤的效果相当,临床中应严格掌握手术适应症,根据患者的具体情况选择最合适的手术方式。
Objective To compare the clinical effects of endovascular intervention and surgical clipping in the treatment of intracranial aneurysms. Methods 50 cases of patients with intracranial aneurysms since author being engaged in neural intervention from January 2013 to January 2017 were selected. The control group （25 cases ） received endovascular intervention treatment, while the observation group （25 cases） received surgical clipping treatment. The treatment effect, incidence of complications, recurrence rate and hospitalization time were compared between two groups. Results No statistical difference was found in the excellent and good rate and incidence of complications between two groups （P 〉0.05）. The hospitalization time of observation group was longer than that of control group, and postoperative recurrence rate was lower than that of control group （both P〈0.05）. Conclusions Endovascular intervention and surgical clipping have the same effect in the treatment of intracranial aneurysms. In clinical practice, the most appropriate surgical method should be chosen according to patients＇ specific conditions, and their operative indications shoud be strictly grasped.
出处
《临床医学工程》
2017年第11期1593-1594,共2页
Clinical Medicine & Engineering
关键词
血管内介入
外科手术夹闭
颅内动脉瘤
Endovascular intervention
Surgical clipping
Intracranial aneurysm
