摘要
【目的】探讨双微导管技术联合介入栓塞治疗老年颅内出血性动脉瘤的临床疗效。【方法】回顾性分析2013年1月至2016年12月本院收治的35例老年颅内出血性动脉瘤患者的临床资料，根据手术方式的不同将其分为观察组（行双微导管技术联合介入治疗，n=18）与对照组（行显微外科手术，n=17）。比较两组患者治疗前后Fugi—Meyer运动功能评分，临床效果及并发症发生情况。【结果】两组治疗前Fugi—Meyer评分比较，差异无统计学意义（P〉0．05）；观察组治疗后Fugi—Meyer评分显著高于治疗前，且观察组治疗后Fugi—Meyer评分显著高于对照组，差畀均具有统计学意义（P〈0．05）。观察组总有效率为94．44％（17／18），对照组总有效率为82．35％（14／17），组间比较差异具有统计学意义（χ-4．752，P：0．021〈0．05）。观察组并发症发生率为5．56％（1／18）显著低于对照组的11．76％（2／17），差异有统计学意义（χ2=5．989，P—o．012〈0．05）。【结论】双微导管技术联合介入栓塞治疗老年颅内出血性动脉瘤具有临床疗效良好，安全性高，并发症较少的优点，值得临床使用推广。
[Objective]To observe the clinical efficacy of double micro catheter technique comblnecl with enaovascular embolization in the treatment of elderly patients with intracranial aneurysms. [Methods]The clinical data of 35 elderly patients with intracranial hemorrhagic aneurysms treated in our hospital from January 2013 to December 2016 were retrospectively analyzed. The patients were divided into two groups according to the different surgical methods： the observa＇don group （treated by double mierocatheter technique combined with interventional thera py） and the control group （treated by microsurgery, n = 17）. The Fugi-Meyer activity function score, clinical effect and complications were compared between the two groups before and after treatment.[Resuhs]There was no significant difference in Fugi-Meyer score between the two groups before treatment （ P 〉0.05）. The Fugi-Meyer score after treatment in the observation group was significantly higher than that before treatment, and the Fugi-Meyer score in the observation group after treatment was significantly higher than that in the control group. The difference was statistically significant （ P 〈 0.05）. The total effective rate of the observation group was 94.44% （17/18） and that of the control group was 82.35% （ 14/17）, the difference between the two groups was statistically significant （χ2 =4.752, P = 0.021〈0.05）,[Conclusion]Double microcatheter technique combined with inter-ventional embolization in the treatment of intracranial hemorrhagic aneurysms in the elderly has the advantages of good clinical effect, high safety and less complications, so it is worth popularizing in clinic.
出处
《医学临床研究》
CAS
2018年第1期40-42,共3页
Journal of Clinical Research
关键词
颅内动脉瘤/外科学
栓塞
治疗性
治疗结果
回顾性研究
Intracranial Aneurysm/SU
Embolization, Therapeutic
Treatment Outcome
Retrospec-tive Studies
