[1]赵 平 王雄伟 汪 雷 马金阳.显微手术和血管内栓塞术治疗颅内动脉瘤的疗效分析[J].中国临床神经外科杂志,2016,(05):281-282.[doi:10.13798/j.issn.1009-153X.2016.05.008]
 ZHAO Ping,WANG Xiong-wei,WANG Lei,et al.Effect of endovascular treatment on intracranial aneurysms: a comparison with microsurgery[J].,2016,(05):281-282.[doi:10.13798/j.issn.1009-153X.2016.05.008]
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显微手术和血管内栓塞术治疗颅内动脉瘤的 疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年05期
页码:
281-282
栏目:
论著
出版日期:
2016-05-25

文章信息/Info

Title:
Effect of endovascular treatment on intracranial aneurysms: a comparison with microsurgery
文章编号:
1009-153X(2016)05-0281-02
作者:
赵 平 王雄伟 汪 雷 马金阳
作者单位:443003 湖北,宜昌市中心人民医院神经外科(赵 平、王雄伟、汪 雷、马金阳)
Author(s):
ZHAO Ping WANG Xiong-wei WANG Lei MA Jin-yang
Department of Neurosurgery, Central People’s Hospital of Yichang City, Yichang 443003, China
关键词:
颅内动脉瘤显微手术血管内栓塞疗效
Keywords:
Intracranial aneurysmsMicrosurgeryEndovascular embolization Curative effect
分类号:
R 743.9; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.05.008
文献标志码:
A
摘要:
目的 探讨显微手术和血管内栓塞治疗颅内动脉瘤的临床疗效。方法 2008年1月至2014年12月收治颅内动脉瘤150例,其中75例采用夹闭术(夹闭组),75例采用血管内栓塞术(栓塞组)。结果 夹闭组住院时间[(16.6±4.1) d]比栓塞组[(10.3±2.1) d]明显延长(P<0.05),夹闭组视觉模拟量表评分[(5.2±1.5)分]明显高于栓塞组[(2.3±1.1)分;>P<0.05]。夹闭组血管痉挛发生率(1.3%)显著低于栓塞组(9.3%;>P<0.05),感染发生率(10.7%)明显高于栓塞组(1.3%;>P<0.05)。两组患者术后半年gos评分无明显差异(>P>0.05)。结论 治疗颅内动脉瘤,显微手术夹闭和血管栓塞均能取得较为满意的效果,但各有利弊;临床应根据患者动脉瘤具体情况而选择对患者最为合适及有利的治疗方法
Abstract:
Objective To compare the clinical curative effect of endovascular embolization with microsurgery. Methods One hundred and fifty patients with intracranial aneurysms treated from January, 2008 to December, 2014 in our hospital were divided into two groups, i.e. the clipping group (n=75) treated by microsurgery and endovascular embolization group (n=75). The curative effects were analyzed in both the groups. Results The hospital stay[(10.3±2.1)days] was significantly shorter in the endovascular embolization group than that [(16.6±4.1)days] in the clipping group (P<0.01). the="" visual="" analogue="" scale="" scores="" [(5.2±1.5)="" scores]="" were="" significantly="" higher="" in="" clipping="" group="" than="" those="" [(2.3±1.1)="" endovascular="" embolization="" (P<0.01). the="" incidence="" of="" vasospasm="" (1.3%)="" was="" significantly="" lower="" in="" clipping="" group="" than="" that="" (9.3%)="" endovascular="" embolization="" (P<0.05). the="" infection="" rate="" was="" significantly="" higher="" (10.7%)="" in="" clipping="" group="" than="" that="" (1.3%)="" endovascular="" embolization="" (P<0.05).>Conclusions There were both the advantages and disadvantages in the microsurgery and endovascular embolization used to treat the intracranial aneurysms. The Methods including the microsurgery and endovascular embolization to treat the intracranial aneurysms should be individually selected.

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更新日期/Last Update: 2016-05-30