摘要
目的 对比研究颅内动脉瘤疾病采取开颅夹闭术、介入栓塞术治疗的效果及对患者预后恢复的影响。方法 随机选取2018年1月—2022年12月沛县人民医院神经外科收诊治疗颅内动脉瘤患者60例,根据病案编号随机抽选结果分为两组,各30例。对照组采取开颅夹闭术治疗,观察组实施介入栓塞术治疗,对比两组治疗效果。结果 观察组手术总用时、住院总时长、切口长度明显短于对照组,差异有统计学意义(P<0.05);观察组术中出血量(25.51±1.97)mL少于对照组,差异有统计学意义(t=125.693,P<0.05)。观察组术后炎症因子水平明显低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率低于对照组,且随访6个月,观察组预后良好率明显高于对照组,差异有统计学意义(P<0.05)。结论 临床治疗颅内动脉瘤首选介入栓塞术,相比传统开颅夹闭术对患者造成的伤害更小,炎症影响更低,并发症更少,且预后患者恢复良好。
Objective To compare and study the effect of craniotomy clipping and interventional embolization on the prognosis and recovery of patients with intracranial aneurysm.Methods 60 patients with intracranial aneurysms admitted to the Neurosurgery Department of Peixian People's Hospital from January 2018 to December 2022 were randomly selected and randomly divided into two groups based on their medical record numbers,with 30 patients in each group.The control group received craniotomy and clipping surgery,while the observation group received interventional embolization therapy.The treatment effects of the two groups were compared.Results The total surgical time,hospitalization time and incision lergth in the observation group were significantly shorter than those in the control group,and the difference was statistically significant(P<0.05).The intraoperative bleeding volume(25.51±1.97) mL in the observation group was lower than that in the control group,the difference was statistically significant(t=125.693,P<0.05).The postoperative inflammatory factors in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The postoperative complication rate in the observation group was lower than that in the control group,and after a 6-month follow-up,the good prognosis rate in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Interventional embolization is the first choice for clinical treatment of intracranial aneurysms.Compared with traditional craniotomy and clipping,it causes less harm to patients,less inflammation,fewer complications,and the prognosis of patients is good.
作者
袁运尚
YUAN Yunshang(Department of Neurosurgery,Peixian People's Hospital,Peixian,Jiangsu Province,221600 China)
出处
《中外医疗》
2023年第21期78-82,共5页
China & Foreign Medical Treatment
关键词
开颅夹闭术
介入栓塞术
颅内动脉瘤
预后
Craniotomy clipping surgery
Interventional embolization
Intracranial aneurysm
Prognosis
