摘要
目的探讨早期(72 h内)栓塞术对动脉瘤性蛛网膜下腔出血并发症及预后的影响。方法回顾性分析2012年1月至2015年12月收治的动脉瘤性蛛网膜下腔出血102例的临床资料,其中有53例采用早期栓塞术治疗(观察组),另外49例采用显微夹闭术治疗(对照组)。术后6个月按GOS评分评估预后。结果观察组手术时间、术中出血量以及术后住院时间均显著优于对照组(P<0.05);两组并发症发生率和预后比较无显著差异(P>0.05)。结论和夹闭术相比较,早期栓塞术在缩短手术时间和住院时间、减少术中出血量方面作用更为显著;但两种手术方式治疗的预后无明显差异。
Objective To discuss the effect of early endovascular embolization on the complications and prognoses in the patients with ruptured intracranial aneurysms. Methods The clinical data of 102 patients with ruptured intracranial aneurysms, of whom, 53 （observed group） were treated by early endovascular embolization and 49 （control group） by microsurgical clipping from January, 2012 to December, 2015, were analyzed retrospectively. The analyses of postoperative complications and prognoses were performed in both the groups. Results The operating time, volume of blood loss, and postoperative hospital stay in the observation group were significantly fewer than those in the control group （P〈0.05）. There were no significant differences in the rates of postoperative complications occurrence and prognoses between both the groups （P〉0.05）. Conclusions The curative effects of both the early interventional embolization and microsurgical clipping on the ruptured aneurysrns are good, but the former is of the merits such as less operative side-injury, shorter operating time and faster recovery of the patients treated by it.
出处
《中国临床神经外科杂志》
2016年第7期410-411,415,共3页
Chinese Journal of Clinical Neurosurgery
关键词
颅内动脉瘤
蛛网膜下腔出血
血管内栓塞术
早期
并发症
预后
Ruptured intracranial aneurysm
Endovascular embolization
Subarachnoid hemorrhage
Complications
Prognosis
