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开颅夹闭治疗颅内前循环破裂动脉瘤疗效分析
引用本文:郭继锋,霍楠楠,单显民.开颅夹闭治疗颅内前循环破裂动脉瘤疗效分析[J].中外医疗,2016(2):35-37.
作者姓名:郭继锋  霍楠楠  单显民
作者单位:1. 大连市第三人民医院急诊科,辽宁大连,116033;2. 大连大学附属新华医院血管外科,辽宁大连,116021
摘    要:目的 探讨开颅夹闭治疗颅内前循环破裂动脉瘤疗效. 方法 整群选取2012年7月—2015年2月在医院收治的72例前循环动脉瘤破裂的患者, 将其随机分为开颅夹闭组36例和介入组36例, 对治疗后两组患者的格拉斯哥(GOS)预后的评分以及术后不良事件进行分析.结果 两组在改善患者预后方面,差异无统计学意义(P>0.05);在手术复发率方面,开颅组为2.78%,介入组为19.44%,经统计,差异有统计学意义(P<0.05). 结论 开颅夹闭术和介入术都可明显改善患者的预后,但开颅手术的复发率比较低.

关 键 词:开颅夹闭  颅内前循环  动脉瘤

Analysis of the Effect of Craniotomy Clipping in the Treatment of Ruptured Intracranial Aneurysms of the Anterior Circulation
Abstract:Objective To investigate the effect of craniotomy clipping in the treatment of ruptured intracranial aneurysms of the anterior circulation. Methods 72 cases with ruptured intracranial aneurysms of the anterior circulation admitted in hos-pital from July 2012 to February 2015 were selected and randomly divided into the craniotomy clipping group (36 cases) and the intervention group (36 cases). The GOS and incidence of postoperative adverse events of the two groups were ana-lyzed after treatment. Results The difference in the prognosis between the two groups was not statistically significant, P>0.05. The incidence of recurrent rate was 2.78%in the craniotomy clipping group and 19.44%in the intervention group, the difference between the two groups was statistically significant, P<0.05. Conclusion Both craniotomy clipping and interven-tional procedure can significantly improve the prognosis of the patients, but the recurrence rate of the former is lower.
Keywords:Craniotomy clipping  Intracranial anterior circulation  Aneurysm
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