大脑中动脉分叉部动脉瘤血管内治疗的效果分析

Efficacy analysis of endovascular treatment for cerebral artery bifurcation aneurysms

目的探讨血管内治疗对大脑中动脉分叉部动脉瘤的治疗效果。方法回顾分析我院2006年7月至2010年3月收治的167例大脑中动脉分叉部动脉瘤患者的临床资料,按治疗方法分为2组,其中65例采取外科手术治疗为常规手术组,102例采取血管内治疗为血管介入组,对比分析2组患者的治疗效果及安全性。结果血管介入组局限性脑梗死8例,神经功能障碍11例,神经功能缺失6例,并发症发生率25.0%;常规手术组局限性脑梗死10例,神经功能障碍13例,神经功能缺失8例,并发症发生率63.3%,血管介入组患者术后并发症发生率明显少于常规手术组。结论血管内治疗大脑中动脉分叉部动脉瘤疗效好,根据患者情况选择手术方式、严格精细操作,其并发症可得到有效控制。

Objective To explore the endovascular treatment for cerebral artery bifurcation aneurysms. Methods A retrospective analysis were made among 167 cases of cerebral artery bifurcation anenrysms patients who were admitted to our hospital from July 2006 to March 2010. 65 cases of them were given surgical operation treatment while the other 102 cases were given endovascular treatment, and the therapeutic effects and safety were analyzed. Results Statistics were made in terms of complications among the survival. There were 8 cases of limitations of cerebral infarction, 11 cases of neurological dysfunction, and 6 cases of nerve function defect in the endovaseular treatment group, with a total complication rate of 25%. Meanwhile, there were 10 cases of limitations of cerebral infarction, 13 cases of neurological dysfunction, and 8 cases of nerve function defect in the surgical operation treatment group, with a total complication rate of 63.3%. It is of obvious difference between the two groups. Conclusion Endovascular treatment for cerebral artery bifurcation aneurysms is of good effect. With reasonable selection of auxiliary equipment and precise operation, the complications can be controlled effectively, and it is worthy of clinical application.