高原地区颅内动脉瘤介入栓塞与开颅夹闭治疗的临床分析

Clinical analysis of craniotomy surgery and interventional occlusion of ruptured intracranial aneurysm embolization at plateau region

目的:对比分析开颅夹闭手术与介入栓塞治疗颅内动脉瘤的临床疗效、风险及预后。方法:入选病例均经全脑数字减影血管造影(digital subtraction angiography,DSA)明确诊断为颅内动脉瘤。分别行手术或介入治疗,对38例患者病死率、并发症、日常生活能力(activities of daily living,ADL)、平均住院天数、住院费用进行比较。结果:介入治疗组病死率、并发症、平均住院天数等与手术夹闭组比较有显著差异,且疗效好,并发症少,日常生活能力明显提高,病死率显著降低。结论:介入栓塞治疗动脉瘤有手术风险小、适应证范围广、并发症少、住院时间短等优点。

Objective： To comparatively analyze the clinical efficacy,risk and prognosis of craniotomy surgery and interventional occlusion of ruptured intracranial aneurysm embolization. Methods： The patients were all diagnosed intracranial aneurysm by cerebral digital subtraction angiography（ DSA）. All patients underwent surgery or interventional therapy respectively. 38 patients were compared the mortality,complications,activities of daily living（ ADL）,the average length of stay and the hospital costs. Results： There are significant differences in the mortality,complications and average number of days of hospitalization between the embolization group and the surgical treatment group. The efficacy of the embolization group was better,and the complications were fewer,daily life was significantly improved,the morbidity was significantly reduced. Conclusion： The risk of interventional embolization therapy is small,and the indication is wide,and has fewer complications,shorter hospital stay.