血管介入栓塞术与开颅夹闭术在脑动脉瘤围手术期疗效比较

摘要

Objective To compare the effect of endovascular embolization and surgical clipping in the treatment of cerebral aneurysms.MethodsA total of 60 cases of cerebral aneurysm patients in fujian provincial hospital from January 2015 to January 2016 as the research object and randomly assigned to the control group and the study group,30 cases in each group,while the control group adopted clipping surgery in the treatment,the research group take vascular interventional embolization therapy,compared two groups of patients with clinical curative effect.Results The postoperative complication rate of the study group were 10%,compared with the control group of 20%,the difference was statisticaly significant(P<0.05),two groups of patients with peri operative index were compared,the difference was statisticaly significant(P<0.05).Conclusion Blood vessels in the study of interventional embolization in the treatment of cerebral aneurysms is compared with craniotomy clip closure better,complication rate and perioperative indicators have been effectively controled,as the preferred scheme of clinical treatment,but due to the relatively smal sample size,income statement stil need to research on large sample data to be supported.%目的：比较血管介入栓塞术与开颅夹闭术在脑动脉瘤临床治疗中的效果。方法选取福建省省立医院2015年1月～2016年1月收治的60例脑动脉瘤患者作为研究对象，随机分为对照组及研究组各30例，对照组采取开颅夹闭术治疗，研究组采取血管介入栓塞术治疗，比较两组患者临床治疗效果。结果研究组术后并发症发生率10%，与对照组20%相比较，差异具有统计学意义（P＜0.05）；两组患者围术期指标相比较，差异具有统计学意义（P＜0.05）。结论此次研究中血管介入栓塞术治疗脑动脉瘤疗效相较于开颅夹闭术更佳，并发症发生率及围术期指标均得到有效控制，可作为临床治疗的优选方案，但由于样本量相对较小，所得论断仍然需要大样本数据研究予以支持。