摘要
目的探究早期与延期介入栓塞治疗对颅内复杂动脉瘤患者的疗效。方法将80例复杂动脉瘤患者按照手术时间分为延期组(入院21 d后行延期介入栓塞治疗)和早期组(入院3~5 d内行早期介入栓塞治疗),各40例。比较两组的疗效。结果早期组的△GCS显著高于延期组(P<0.05);手术后,早期组的NIHSS评分显著低于延期组及手术前(P<0.05)。早期组的并发症总发生率显著低于延期组(P<0.05)。早期组的预后良好率显著高于延期组(P<0.05)。结论早期介入栓塞治疗对颅内复杂动脉瘤的治疗效果更好,能够显著改善患者的神经功能,达到更好的预后效果。
Objective To explore the effects of early and delayed interventional embolization in the treatment of complex intracranial aneurysms. Methods According to the operation time, 80 patients with complex intracranial aneurysms were divided into delayed group(delayed interventional embolization after 21 days in hospital) and early group(early interventional embolization within 3-5 days after admission). The curative effects of the two groups were compared. Results The △GCS in the early group was significantly higher than that in the delayed group(P<0.05);after surgery, the NIHSS score in the early group was significantly lower than that in the delayed group and before operation(P <0.05). The total incidence of complications in the early group was significantly lower than that in the delayed group(P <0.05). The good prognosis rate in the early group was significantly higher than that in the delayed group(P <0.05). Conclusion Early interventional embolization is more effective in the treatment of complex intracranial aneurysms, which can significantly improve the neurological function of patients and achieve better prognosis.
作者
张志银
万定
黄德俊
李泽
袁兴
李华
ZHANG Zhi-yin;WAN Ding;HUANG De-jun;LI Ze;YUAN Xing;LI Hua(the Fourth People's Hospital of Shaanxi,Xi'an 710043;General Hospital of Ningxia Medical University,Yinchuan 750004,China)
出处
《临床医学研究与实践》
2019年第36期35-36,共2页
Clinical Research and Practice
基金
宁夏回族自治区重点研发计划项目(No.2018YBZD0034)
关键词
早期介入栓塞治疗
延期介入栓塞治疗
颅内复杂动脉瘤
early interventional embolization
delayed interventional embolization
complex intracranial aneurysms
