颈内动脉-后交通动脉瘤开颅夹闭和介入栓塞治疗的对比研究

目的比较开颅夹闭与介入栓塞治疗颈内动脉．后交通动脉瘤的优缺点。方法回顾分析广西医科大学第一附属医院神经外科42例颈内动脉-后交通动脉瘤患者,分为手术组与介入组,进行相关资料分析比较。结果两组在术后病死率上无统计学差异,出院时恢复程度上存在统计学差异;在术后瘤颈残余率、术后并发症发生率上存在统计学意义。结论手术夹闭与介入栓塞各有优缺点,应根据个体化原则选择治疗方案。

Comparison of craniotomy clipping and interventional treatment of internal carotid artery-posterior communicating artery aneurysm

Objective To compare the advantages and disadvantages of the craniotomy clipping and interventional treatment of internal carotid artery-posterior communicating artery aneurysm. Methods The clinical data of 42 patients with internal carotid artery-posterior communicating artery aneurysm were analyzed retrospectively. They were divided into two groups, i. e. surgical group and intervention group. Results The results showed that the postoperative mortality of the two groups when they were discharged was no significant statistical difference, the postoperative recovery extent of the two groups exists significant statistical difference. The rate of postoperative residual aneurysm fleck two groups exists statistical significance. The incidence of postoperative complication two groups exists statistical significance. Conclusions The interventional and craniotomy clipping treatment of internal carotid artery-posterior communicating artery aneurysm have their merits and demerits respectively, we shoud choose the treatment options according to the principle of individuation.