目的 观察间接脑血管重建手术与血管内栓塞治疗烟雾病相关性颅内动脉瘤的临床对比效果.方法 将60例烟雾病相关性颅内动脉瘤患者分为观察组和对照组,每组30例,对照组患者都采用间接脑血管重建手术,观察组患者采用血管内栓塞治疗.结果 经过治疗后,观察组总有效率为66.7%,对照组总有效率为33.3% (P < 0.05).两组治疗前Barthel指数与CSS指数无差异(P > 0.05),治疗后两组对比有差异(P < 0.05).观察组的总体生存期与1年生存率稍高于对照组,但是差异无统计学意义(P > 0.05).结论 相对于间接脑血管重建手术,血管内栓塞治疗烟雾病颅内血流相关性动脉瘤能提高治疗疗效,改善生存质量,安全性好,值得推广应用.%Objective To observe the clinical comparative effect of intravascular embolization and indirect cerebral revascularization surgery for the treatment of moyamoya disease related intracranial aneurysms. Methods 60 cases of moyamoya disease related intracranial aneurysms were equally divided into the observation group and control group, the control group were treated by the indirect cerebral revascularization surgery, the observation group were treated with endovascular embolization. Results After treatment, the total effective rate of the observation group was 66.7%, 333% in the control group (P < 0.05). The Barthel index and CSS index contrast in the two groups before treatment had no significant differences (P > 0.05), but had significant difference after treatment (P < 0.05). The overall survival time and 1-year survival rate of the observation group were slightly higher, but had no significant difference compared to the control group (P > 0.05). Conclusion Compared to the indirect cerebral revascularization surgery, intravascular embolization for the treatment of moyamoya disease related intracranial aneurysms is a safe and effective way, which has more advantages compared with direct surgery, it should be widely applied.
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