血管内栓塞术治疗40例颅内动脉瘤的临床疗效观察

The Clinical Observation of Endovascular Embolization in the Treatment of 40 Patients with Intracranial Aneurysms

目的探讨血管栓塞术治疗颅内动脉瘤的临床效果。方法将2012年6月-2012年12月来我院治疗的70例颅内动脉瘤患者分为观察组40例和对照组30例。观察组进行血管内栓塞手术,对照组进行传统的夹闭治疗手术,对比两组疗效。结果观察组行血管内栓塞手术后,38例治疗成功,1例有好转,1例出现一次性偏瘫。栓塞后立刻行脑血管造影表示动脉瘤腔填塞满意,手术无死亡病例。对照组行夹闭手术后,8例完全康复、14例手术后恢复良好,2例因手术后出血再次手术,2例出现动眼神经麻痹症,2例死亡。结论血管内栓塞手术在治疗颅内动脉瘤上存在一定优势,可以广泛临床应用。

Objective To investigate the clinical effects of endovascular embolization in the treatment of intracranial aneurysms. Methods 70 patients with intracranial aneurysms in our hospital from June 2012 to December 2012 were divided into observation group and control group. There was 40 patients in observation group,and 30 patients in control group. Endovascular embolization was carried out in observation group,and traditional surgical clipping treatment was carried out in control group. Then the effect of the two groups was compared. Results After the observation group underwent endovascular surgery,there were 38 cases of successful treatment,1 patient had been improved,one case of one-off hemiplegia. After embolization,cerebral angiography was immediately carried out,as a result,aneurysm cavity filling was satisfaction,and no deaths occured. After clipping operation underwent in control group,there were 8 cases fully recovered,14 cases recovered well,2 cases of reoperation due to bleeding after surgery,2 patients occurred oculomotor nerve palsy,and 2 died. Conclusion Endovascular surgery in the treatment of intracranial aneurysms,has certain advantages,and it can be widely applied in clinical.