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颈内动脉-后交通动脉瘤显微手术夹闭与血管内栓塞对比分析 被引量:5

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摘要 目的探讨显微手术夹闭和血管内栓塞对颈内动脉-后交通动脉瘤预后的影响。方法回顾性分析204例颈内动脉-后交通动脉瘤病例,其中扩大翼点入路显微手术夹闭(显微外科治疗组)97例,经血管内栓塞(血管内介入治疗组)107例。结果术后改良Rankin评分,血管内介入治疗组:0~2分101例,3~5分4例,死亡2例;显微手术组:0~2分83例,3~5分11例,死亡3例。随访:血管内栓塞组瘤颈残留13例,动脉瘤复发5例;显微外科治疗组瘤颈残留7例,动脉瘤复发1例。结论血管内栓塞在术后病残率、病死率方面优于显微手术夹闭,但术后瘤颈残留、动脉瘤复发要高于显微手术夹闭。
出处 《中国实用神经疾病杂志》 2012年第9期71-72,共2页 Chinese Journal of Practical Nervous Diseases
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共引文献91

同被引文献47

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