目的观察并分析显微手术与血管栓塞术对血栓性脑动脉瘤的临床效果。方法选取血栓性脑动脉瘤患者59例,按照治疗方法分成对照组、观察组,分别为29、30例。对照组进行血管栓塞术治疗,观察组进行显微手术治疗。比较两组不同Hunt-Hess分级患者的GOS、手术时间、术中出血量、住院时间及并发症的发生情况。结果两组不同Hunt-Hess分级患者的GOS比较差异不显著(P> 0. 05);观察组手术时间和住院时间均明显短于对照组(P <0. 05),术中出血量显著少于对照组(P <0. 05);观察组术后1例出现发热,对照组2例出现发热、1例感染,两组并发症发生率间无显著差异(P>0. 05)。结论显微手术治疗血栓性脑动脉瘤疗效确切,能够有效降低术中出血量、手术时间和住院时间,促进患者尽早康复。
Objective To observe and analyze the clinical efficacy of microsurgery and vascular embolization on thrombotic intracranial aneurysms.Methods Selected 59 patients with thrombotic intracranial aneurysms.All patients were divided into control group and observation group by treatment method,each of 29,30 cases.The control group for vascular vascular embolization treatment,and observation group for microsurgery.The GOS,operation time,intraoperative blood loss,hospitalization time and complication of two groups were compared.Results There was no significant difference in GOS between two groups of HuntHess grading patients(P>0.05).The operation time and hospital stay in the observation group were significantly shorter than those in the control group(P<0.05),and the amount of bleeding in the observation group was significantly less than that in the control group(P<0.05).There was no significant difference between the two groups in the incidence of complications(P>0.05).Conclusion Microsurgery of thrombotic intracranial aneurysms is effective and can reduce intraoperative blood loss,operation time and hospital stay,and promote early recovery of patients.
The Practical Journal of Cancer
Thrombotic intracranial aneurysms