[1]丁 昊 陈岷辉 陈立珂 杨呈浩 蓝美锐.夹闭术与栓塞治疗对颅内破裂动脉瘤病人局部脑氧饱和度的影响[J].中国临床神经外科杂志,2019,(01):29-30.[doi:10.13798/j.issn.1009-153X.2019.01.008]
 DING Hao,CHEN Min-hui,Chen Li-ke,et al.Effects of clipping and endovascular embolization on regional cerebral oxygenation in patients with ruptured intracranial aneurys[J].,2019,(01):29-30.[doi:10.13798/j.issn.1009-153X.2019.01.008]
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夹闭术与栓塞治疗对颅内破裂动脉瘤病人 局部脑氧饱和度的影响()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年01期
页码:
29-30
栏目:
论著
出版日期:
2019-01-25

文章信息/Info

Title:
Effects of clipping and endovascular embolization on regional cerebral oxygenation in patients with ruptured intracranial aneurys
文章编号:
1009-153X(2019)01-0029-02
作者:
丁 昊 陈岷辉 陈立珂 杨呈浩 蓝美锐
Author(s):
DING Hao CHEN Min-hui Chen Li-ke YANG Cheng-hao LAN Mei-rui.
Department of Neurosurgery, The Fourth People’s Hospital of Zigong City, Zigong 643000, China
关键词:
颅内破裂动脉瘤栓塞治疗夹闭术局部脑氧饱和度
Keywords:
Ruptured intracranial aneurysm Subarachnoid hemorrhage Regional cerebral oxygenation Microsurgical clipping Endovascular embolization
分类号:
R743.9;R651.1+2
DOI:
10.13798/j.issn.1009-153X.2019.01.008
文献标志码:
A
摘要:
目的 探讨开颅夹闭术及栓塞治疗对颅内破裂动脉瘤病人局部脑氧饱和度(rScO2)的影响。方法 回顾性分析2016年9月至2018年5月收治的45例颅内破裂动脉瘤的临床资料。开颅夹闭术治疗30例(夹闭组),栓塞治疗15例(栓塞组)。入院时、术后1、2、3、7 d采用近红外光谱技术监测rScO2。结果 夹闭组术后2、3 d rScO2较术前明显降低(P<0.05);而栓塞组术后1、2、3、7 d rScO2均无明显变化(P>0.05)。术后2、3 d,夹闭组rScO2明显低于栓塞组(P<0.05),但术后7 d两组rScO2无明显差异(P>0.05)。结论 与栓塞治疗比较,开颅夹闭术对颅内破裂动脉瘤术后早期rScO2有一定影响。
Abstract:
Objective To explore the regional cerebral oxygenation (rScO2) in the patients with ruptured intracranial aneurysms (rICA) after the clipping and endovascular embolization. Methods Of 45 patients with rICA, 30 underwent microsurgical clipping and 15 endovascular embolization. The rScO2 was determined by near infrared spectroscopy technology (NIRS) before and 1, 2, 3 and 7 days after the operation in all the patients. Results The level of rScO2 was significantly lower in the clipping group than that in the embolization group 2 days after the operation (P<0.05). The levels of rScO2 2 and 3 days after the operation were significantly lower than that before the operation in the clipping group (P<0.05), but there were insignificant differences in the levels of rScO2 among 1, 2, 3 and 7 days after the operation (P>0.05) and between 1 or 2 or 3 or 7 days after the operation and before the operation in the embolization group (P>0.05). Conclusions Compared with the embolization, the clipping has some bad effects on rScO2 level early after the operation, but there was no significant effect of the clipping on rScO2 late after the operation in the patients with rICA.

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备注/Memo

备注/Memo:
doi:10.13798/j.issn.1009-153X.2019.01.008 基金项目:四川省卫生计生委科研课题(140110) 作者单位:643000 四川,自贡市第四人民医院神经外科(丁 昊、陈岷辉、陈立珂、杨呈浩、蓝美锐)
更新日期/Last Update: 2019-01-25