摘要
目的比较神经外科开颅夹闭和血管内栓塞治疗老年颅内动脉瘤患者的有效性和安全性,为此类患者选择科学的治疗方案提供指导。方法方便选取该院2009年3月—2012年12月神经外科收治的62例老年颅内动脉瘤患者作为观察对象,其中行外科开颅夹闭者28例,动脉瘤合计31个;其余34例患者进行血管内弹簧圈栓塞治疗,动脉瘤合计36个。观察患者患者栓塞率及并发症发生率。结果血管内栓塞组动脉瘤完全栓塞组21例,占61.76%,栓塞率小于70%的患者3例,占8.82%,瘤颈处有半月形残留者11例,占32.35%;出院时GOS评分结果显示开颅夹闭术组和血管内弹簧栓塞组评分差异无统计学意义（χ-2=0.379,P〉0.05）。结论开颅夹闭术和血管内栓塞术治疗老年颅内动脉瘤患者的效果相差无几,但血管内栓塞由于创伤小,尤为适宜老年患者的治疗。
Objective To compare the efficacy and complications of treatment of microsurgical clipping with that of endovascular embolization in the elder patients with intracranial aneurysms. Methods Convenient selection 62 Cases selected from March 2009 to December 2012 were elderly patients with intracranial aneurysms in neurosurgery department. 28 cases were underwent microsurgical clipping, aneurysm were 31 totally. 34 cases were underwent endovascular coil embolization treatment and aneurysm totally 36. The rate of embolism and the incidence of complications were observed. Results The endovascular embolization group 21 cases had successfully embolization with the rate of 61.76%, 3 cases embolization rate less then 70% and 32.35% cases had half-moom residual aneurysm about 11 cases. Two group patients showed GOS score at discharged stage were statistically no significant（χ-2=0.379,P〈0.05）. Conclusion Microsurgical clipping and endovascular embolization has similar significance, but the latter most suit for elder patients with intracranial aneurysms.
出处
《中外医疗》
2016年第31期100-101,104,共3页
China & Foreign Medical Treatment
关键词
颅内动脉瘤
老年人
血管内栓塞
开颅夹闭
Intracranial aneurysms
Elderly
Endovascular embolization
Craniotomy clipping
