血管内介入栓塞术与开颅夹闭术治疗脑动脉瘤的效果分析

Efficacy of Endovascular Embolization and Craniotomy in the Treatment of Cerebral Aneurysms

目的探讨血管内介入栓塞术与开颅夹闭术治疗脑动脉瘤的效果分析。方法选取我院2016年5月至2017年6月收治的脑动脉瘤患者84例作为研究对象,随机将其分为对照组42例与观察组42例,对照组患者接受开颅夹闭术治疗,观察组采取血管内介入栓赛术治疗,对比两组临床疗效及预后效果。结果两组患者经手术治疗后,对照组治疗有效率明显低于观察组(P<0.05);经治疗后,观察组Ⅱ级、Ⅲ级比例明显优于对照组,(P<0.05);经手术治疗后,观察组42例患者不良并发症发生率低于对照组(P<0.05);两组患者经治疗后住院时间、住院费用对比,对照组明显高于观察组(P<0.05)。结论临床中治疗脑动脉瘤采取血管内介入栓塞术治疗与开颅夹闭术治疗比较,其临床疗效更佳,且术后并发症较低,具有良好安全性,值得临床应用。

Objective To investigate the effect of endovascular embolization and craniotomy on the treatment of cerebral aneurysm.Methods Totally 84 patients with cerebral aneurysm admitted from May 2016 to June 2017 in our hospital were randomly divided into control group（n=42） and observation group（n=42）.Patients in the control group underwent open craniotomy The treatment group and the observation group were treated with intravascular interventional plug surgery.The clinical efficacy and prognosis were compared between the two groups.Results After operation,the effective rate of the control group was significantly lower than that of the observation group（P〈0.05）.After treatment,the levels of grade Ⅱ and Ⅲ in the observation group were significantly better than those in the control group（P〈0.05）.After operation,the incidence of adverse complications in the 42 patients in the observation group was lower than that in the control group（P〈0.05）.The hospitalization and hospitalization costs of the two groups were significantly higher than those of the control group（P〈0.05）.Conclusion Compared with craniotomy and occlusion,the treatment of cerebral aneurysms by endovascular embolization in clinical treatment has better clinical effect,lower postoperative complications,good safety and worthy of clinical promotion.