显微手术和血管内栓塞术治疗颅内动脉瘤的 疗效分析

目的 探讨显微手术和血管内栓塞治疗颅内动脉瘤的临床疗效。方法 2008年1月至2014年12月收治颅内动脉瘤150例，其中75例采用夹闭术（夹闭组），75例采用血管内栓塞术（栓塞组）。结果 夹闭组住院时间（16.6±4.1） d]比栓塞组（10.3±2.1） d]明显延长（P<0.05），夹闭组视觉模拟量表评分（5.2±1.5）分]明显高于栓塞组（2.3±1.1）分；>P<0.05]。夹闭组血管痉挛发生率（1.3%）显著低于栓塞组（9.3%；>P<0.05），感染发生率（10.7%）明显高于栓塞组（1.3%；>P<0.05）。两组患者术后半年gos评分无明显差异（>P>0.05）。结论 治疗颅内动脉瘤，显微手术夹闭和血管栓塞均能取得较为满意的效果，但各有利弊；临床应根据患者动脉瘤具体情况而选择对患者最为合适及有利的治疗方法。

Effect of endovascular treatment on intracranial aneurysms: a comparison with microsurgery

Objective To compare the clinical curative effect of endovascular embolization with microsurgery. Methods One hundred and fifty patients with intracranial aneurysms treated from January, 2008 to December, 2014 in our hospital were divided into two groups, i.e. the clipping group (n=75) treated by microsurgery and endovascular embolization group (n=75). The curative effects were analyzed in both the groups. Results The hospital stay(10.3±2.1)days] was significantly shorter in the endovascular embolization group than that (16.6±4.1)days] in the clipping group (P<0.01). the="" visual="" analogue="" scale="" scores="" (5.2±1.5)="" scores]="" were="" significantly="" higher="" in="" clipping="" group="" than="" those="" (2.3±1.1)="" endovascular="" embolization="" (P<0.01). the="" incidence="" of="" vasospasm="" (1.3%)="" was="" significantly="" lower="" in="" clipping="" group="" than="" that="" (9.3%)="" endovascular="" embolization="" (P<0.05). the="" infection="" rate="" was="" significantly="" higher="" (10.7%)="" in="" clipping="" group="" than="" that="" (1.3%)="" endovascular="" embolization="" (P<0.05).>Conclusions There were both the advantages and disadvantages in the microsurgery and endovascular embolization used to treat the intracranial aneurysms. The Methods including the microsurgery and endovascular embolization to treat the intracranial aneurysms should be individually selected.