Objective To investigate and analyze the clinical effect of endovascular embolization and microsurgical clipping in the treatment of cerebral aneurysms. Methods 86 cases of cerebral aneurysms treated in our hospital from February 2015 to February 2016 were selected as the study object, and were divided into the reference group and the experimental group according to the chronological order of hospital stay, 43 cases in each group. The reference group was treated with vascular embolization, while the experimental group was treated with microsurgical clipping. Compared clinical total efficiency, clinical indexes of surgery, and postoperative complications of the 2 groups, observed and compared the disability rate, the rupture rate, and the death rate of the 2 groups. Results The total efficiency in the experimental group was higher than that in the reference group (93.02％vs.86.05％), but without statistically significant difference (P>0.05). The operation time and the postoperative recovery time in the experimental group were shorter than those in the reference group, and the intraoperative bleeding volume in the experimental group was significantly lower than that in the reference group, on the whole, clinical indexes of surgery in the experimental group were significantly better than those in the reference group, with statistically significant differences between the two groups (P<0.05). The rate of postoperative complications in the experimental group was significantly lower than that in the reference group (11.63％ vs.34.88％), with statistically significant difference between the two groups (P<0.05). The disability rate, the rupture rate, and the death rate in the experimental group were 2.33％, 4.65％, 0.00％, lower than 9.30％, 11.63％, 2.33％ in the reference group, there was statistically significant difference in the total incidence (23.26％ vs.6.98％, P<0.05). Conclusion Microsurgical clipping has high clinical value in the treatment of cerebral aneurysms, can effectively promote the rehabilitation of patients, reduce the risk of complications, as well as disability and mortality, so it is worthy of promotion.%目的 在脑动脉瘤治疗中应用血管栓塞术与显微手术夹闭术治疗的临床应用效果探讨与分析.方法 将本院于2015年2月至2016年2月收治的脑动脉瘤患者86例作为本次研究观察对象,并将其按住院时间的先后顺序进行分组,分别为参考组和实验组,每组43例.血管栓塞术用于参考组患者治疗中,显微手术夹闭术用于实验组患者治疗中,对两组患者的临床总有效率、临床手术指标状况以及术后并发症状况进行分析比较,同时对比观察两组患者的致残率、破裂率以及死亡率情况.结果 实验组患者的总有效率高于参考组(93.02％ 比86.05％),差异无统计学意义(P>0.05).实验组患者的手术时间以及术后恢复时间明显比参考组短,且实验组患者的术中出血量明显低于参考组,总体上看,实验组患者的临床手术指标状况明显优于参考组患者,组间比较差异有统计学意义(P<0.05).实验组患者的术后并发症发生率明显比参考组低(11.63％ 比34.88％),组间比较差异有统计学意义(P<0.05).实验组患者的致残率、破裂率以及病死率分别为2.33％、4.65％、0.00％,低于参考组的9.30％、11.63％、2.33％,总发生率组间比较差异有统计学意义(23.26％ 比6.98％,P<0.05).结论 在脑动脉瘤治疗中采用显微手术夹闭术治疗的临床应用价值高,可有效促进患者康复,降低并发症发生风险以及致残率和病死率,值得推广.
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