摘要
目的研究不相同时机开颅手术、血管内治疗对于颅内动脉瘤性蛛网膜下腔出血患者的作用与效果。方法选出该院依据Hunt-Hess分级法在2016年11月-2019年2月的25例颅内动脉瘤性蛛网膜下腔出血患者,将其作为低分级组,另选出在此基础之上的25例颅内动脉瘤性蛛网膜下腔出血患者,将其作为高分级组,对所有患者都运用早期与延期、血管内治疗与开颅手术,观察比较其结果。结果对于低分级组而言,两类手术在早期实施治疗其效果90.91%、85.71%优于延期33.33%、25.00%,差异有统计学意义(χ^2=4.641、4.055,P=0.031、0.044<0.05);对于高分级组而言,延期进行治疗其效果90.91%、85.71%优于早期33.33%、25.00%,差异有统计学意义(χ^2=4.641、4.055,P=0.031、0.044<0.05)。结论对于颅内动脉瘤性蛛网膜下腔出血患者,其治疗与手术时机间具有关联性,与手术方法间没有关联性。
Objective To study the effect and effect of different time on craniotomy and endovascular treatment for patients with intracranial aneurysmal subarachnoid hemorrhage.Methods Twenty-five patients with intracranial aneurysmal subarachnoid hemorrhage in the hospital under the Hunt-Hess classification method from November 2016 to February 2019 were selected as the low-ranking group.Twenty-five patients with intracranial aneurysmal subarachnoid hemorrhage were treated as high-grade group.All patients were treated with early and delayed,endovascular treatment and craniotomy.The results were compared.Results For the low-grade group,the effect of early treatment in the two types of surgery was 90.91%,85.71%better than the delay of 33.33%,25.00%,the difference was statistically significant(χ^2=4.641,4.055,P=0.031,0.044<0.05);For the high-grade group,the effect of delayed treatment was 90.91%,85.71%was better than the early 33.33%,25.00%,the difference was statistically significant(χ^2=4.641,4.055,P=0.031,0.044<0.05).Conclusion For patients with intracranial aneurysmal subarachnoid hemorrhage,there is a correlation between treatment and timing of surgery,and there is no correlation with surgical methods.
作者
聂文臣
NIE Wen-chen(Department of Neurosurgery,Nanjing Gulou Hospital Group,Suqian People's Hospital,Suqian,Jiangsu Province,223800 China)
出处
《系统医学》
2019年第20期95-97,共3页
Systems Medicine
关键词
开颅手术
治疗
颅内动脉瘤性蛛网膜下腔出血
效果
血管内治疗
Craniotomy
Treatment
Intracranial aneurysmal subarachnoid hemorrhage
Effect
Endovascular treatment
