摘要
目的对比分析显微瘤颈夹闭术与血管内栓塞术对颅内动脉瘤(IA)的治疗效果。方法回顾性116例IA患者临床资料,根据其手术治疗方式差异分为显微瘤颈夹闭术组(夹闭组,n=70)与血管内栓塞术组(栓塞组,n=46)。观察两组手术情况(术中IA破裂率、IA闭塞率)、术后血管痉挛(CVS)和并发症发生情况;术后3个月,采用改良Rankin量表(mRs)评估患者预后情况。结果栓塞组术后CVS程度轻于夹闭组,术后并发症发生率小于夹闭组(P <0.05)。两组术中IA破裂率、IA闭塞率、预后良好率等比较均无统计学差异(P> 0.05)。结论显微瘤颈夹闭术与血管内栓塞术治疗IA的效果相当,均可获得良好预后,但血管内栓塞术所致CVS程度较轻、并发症发生率较低,具有一定优势。
Objective To compare and analyze the therapeutic effects of microaneurysm neck clipping and endovascular embolization on intracranial aneurysms(IA).MeAods The clinical data of 116 patients with IA were retrospectively analyzed.According to the difference of operational methods,the patients were divided a clipping group(microaneurysm clipping,n=70)and an embolization group(endovascular embolization,n=46).The operation conditions(IA rupture rate and IA occlusion rate),postoperative vasospasm(CVS)and complications in the two groups were observed.The prognosis of patients was evaluated by means of modified Rankin scale(mRs)three months after the operation.Results The degree of CVS in embolization group was less than that in the clipping group,and the incidence of complications was less than that in the clipping group(P<0.05).There was no significant difference in the IA rupture rate,IA occlusion rate and good prognosis between the two groups(P>0.05).Conclusion The effect of microaneurysm neck clipping is similar to that of endovascular embolization in the treatment of IA,which can achieve good prognosis.However,endovascular embolization has some advantages,such as less CVS and lower incidence of complications.
作者
王湘
王海全
吕光涛
胡海斌
Wang Xiang;Wang Haiquan;Lv Guangtao;Hu Haibin(Department of Neurosurgery,West China,Guang'an Hospital,Sichuan University,Guang'an,Sichuan,638000,China)
出处
《西南国防医药》
CAS
2019年第3期315-318,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
瘤颈
夹闭术
栓塞术
颅内动脉瘤
脑血管痉挛
预后
microaneurysm neck
clipping operation
embolization
intracranial aneurysm
cerebral vasospasm
prognosis
