两种方法治疗颅内动脉瘤疗效比较

目的 比较神经外科手术夹闭与血管内介入术治疗颅内动脉瘤的疗效.方法 回顾性分析110例颅内动脉瘤患者的临床资料,按治疗方法不同分为介入组(55例,行血管内介入治疗)、手术组(55例,行神经外科手术夹闭治疗),术后随访1～4个月,即时进行术后疗效评价,采用中国脑卒中量表(CSS)和日常生活能力(ADL)两项评分进行预后评价.结果 术后即时疗效:介入组显效40例、有效10例、无效5例、总有效率90.9％,手术组分别为32例、10例、13例、76.4％,两组总有效率差异有统计学意义(x2=3.96,P＜0.05).术后随访,两组CSS和ADL评分均较治疗前明显降低(t=9.12、8.05,均P＜0.05)；介入组较手术组降低更明显(t=7.35、5.67,均P＜0.05).结论 行血管内介入治疗颅内动脉瘤可提高临床疗效和患者生活自理能力,明显改善预后.

Comparison of the two methods in the treatment of intracranial aneurysms

Objective To compare the effect of the neurosurgical clipping and endovascular for treating intracranial aneurysm. Methods Retrospectively analyzed the clinical data of 110 cases with intracranial aneurysms. The patients were divided into intervention group（55 patients with endovascular treatment） and surgery group（55 patients with neurosurgical clipping treatment） according to different methods, followed forup 1 - 4 months, and immediately evaluated the efficacy. The Chinese stroke scale（CSS） and activities of daily living（ADL） score were used for prognostic evaluation. Results The immediate effect：the marked efficacy in 40 cases, efficacy in 10 cases and inefficacy in 5 cases,and the total effective rate in the intervention group was 90.9% ,while the surgery group were 32 cases,10 eases, 13 cases, and the total effective rate was 76.4%. There was significantl differences between the two groups（ X2 = 3.96 ,P 〈 0.05 ） ; the CSS and ADL scores significantly lower than pre-treatment （ t = 9.12,8.05, P 〈 0. 05）. Conclusion Endovascular treatment for intracranial aneurysms could improve the clinical efficacy and improve patients self-care ability, and significantly improve the prognosis.