血管内栓塞和开颅夹闭术在颅内动脉瘤患者中的应用

摘要

目的：探讨开颅夹闭术和血管内栓塞术治疗颅内动脉瘤（IA）患者的临床意义。方法回顾性分析2010年2月至2014年11月在我院接受治疗的86例 IA 患者的临床资料。根据治疗术式的不同将其分为血管内栓塞组（IE 组，43例）和开颅夹闭术组（MC 组，43例）。比较2组患者的一般资料、治疗效果、住院费用和时间以及并发症发生率。结果2组患者的一般资料比较差异无统计学意义（P ＞0．05）。IE 组治疗良好率比 MC 组高，差异有统计学意义（P ＜0．01）。IE 组住院费用比 MC 组低，住院时间比 MC 组短，差异均有统计学意义（P ＜0．01）。IE 组患者治疗后的并发症发生率比 MC 组低（P ＜0．01）。结论血管内栓塞手术的治疗效果优于开颅夹闭手术，值得推广。%Objective Our retrospective study was aimed to analyze the clinical significance of microsurgical clipping and intravascular embolization in patients with intracranial aneurysm (IA).Methods Clinical data of 86 patients with IA received treatment at our hospital from February 2010 to November 2014 was retrospectively analyzed.Patients were divided into two groups according to the treatment method, IE group (intravascular embolization,43 cases)and MC group (microsurgical clipping,43 cases).The general information,treatment effect, hospitalization expenses and time and the rate of complication of the patients between two groups were compared.Results There was no sta-tistical difference in general information between two groups (P >0.05).The cure rate of patients in IE group was obviously better than that in MC group (P <0.01).The hospitalization expenses in IE group was lower than that in MC group,and the hospitalization time was shorter than that in MC group,all the differences had statistical significance (P <0.01).The rate of complication in IE group was obviously lower than that in MC group (P <0.01).Conclusion The clinical effect of intravascular embolization was significantly better than microsurgical clipping,which is worth promoting in clinic.