摘要
目的探讨开颅夹闭治疗颅内前循环破裂动脉瘤的效果。方法采用随机平行对照法将107例颅内前循环破裂动脉瘤患者进行分组,对照组53例给予血管内介入治疗,观察组54例给予开颅夹闭治疗。观察并比较两组患者治疗后的格拉斯哥(GOS)评分及术后不良事件、复发率。结果观察组术后总有效率(90.74%)高于对照(84.91%),差异未见统计学意义(P>0.05);观察组并发症发生率(18.52%)高于对照组(16.98%),差异未见统计学意义(P>0.05);观察组术后复发率(3.70%)低于对照组(20.75%),差异有统计学意义(P<0.05)。结论两种方法均能够有效改善患者的预后,开颅夹闭创伤大,术后复发率较低,血管内介入栓塞的创伤小,患者更易于接受,在临床应用中,应根据患者的具体情况,严格把握适应证,选取最适宜患者的手术方式。
Objective To investigate the effect of craniotomy clipping on ruptured intracranial anterior circulation aneurysms.Methods A total of 107 cases of ruptured intracranial anterior circulation aneurysms patients were divided into two groups by stochastic parallel control method, 53 cases in control group were given endovascular treatment, 54 cases in observation group were given craniotomy clipping treatment.The Glasgow scores （GOS）, adverse events and recurrence rate affter treatment were compared between the two groups.Results After operation, the total effective rate of observation group （90.74%） was higher than that of control group （84.91%, P〉0.05）;the incidence rate of complication in observation group was 18.52%, which was higher than that of control group （16.98%, P〉0.05）;the recurrence rate of observation group was 3.70%, which was lower than that of control group （20.75%, P〈0.05）.Conclusion Both methods can effectively improve the prognosis of patients, surgical clipping has big trauma, low postoperative recurrence rate, the endovascular has little trauma, more easily accepted by patients, in clinical application, should according to the specific circumstances of patients, strictly grasp the indications, select the most appropriate way of operation.
出处
《临床医学》
CAS
2017年第6期13-15,共3页
Clinical Medicine
关键词
开颅夹闭
颅内前循环
破裂动脉瘤
效果
Craniotomy clipping
Intracranial anterior circulation
Ruptured aneurysm
Effect
