经血管内介入栓塞治疗脑动脉瘤破裂的效果

Effect of endovascular interventional embolization for the treatment of cerebral aneurysm rupture

目的探讨经血管内介入栓塞治疗脑动脉瘤破裂的效果。方法选取2015年8月10日~2016年8月10日上饶市人民医院神经外科收治的100例脑动脉瘤破裂患者作为研究对象,采用抽签分组的方式将其分为两组,每组各50例。观察组患者采用经血管内介入栓塞治疗,对照组患者采用常规治疗。比较两组患者的治疗效果、手术时间、住院时间、术中出血量以及并发症总发生率。结果观察组患者的治疗总有效率为98.00%,高于对照组的72.00%,差异有统计学意义(P<0.05);观察组患者的手术时间为(45.21±1.02)min,住院时间为(5.21±1.32)d,均短于对照组的(77.13±1.32)min、(11.26±1.97)d,观察组患者的术中出血量为(254.13±1.23)ml,少于对照组的(365.25±1.97)ml,差异有统计学意义(P<0.05);观察组患者的并发症总发生率为2.00%,低于对照组的24.00%,差异有统计学意义(P<0.05)。结论经血管内介入栓塞治疗脑动脉瘤破裂的效果十分显著,且并发症少,能够显著缩短患者的手术时间以及住院时间,值得研究。

Objective To investigate the effect of endovascular interventional embolization for the treatment of cerebral aneurysm rupture.Methods A total of 100 patients with cerebral aneurysm rupture treated in the Department of Neurosurgery in the Shangrao People's Hospital from August 10,2015 to August 10,2016 were selected as the study subjects.They were divided into two groups by drawing lots,50 cases in each groups.In the observation group,patients were treated with endovascular interventional embolization,while in the control group,patients were treated with conventional method.The therapeutic effect,operative time,hospital stay,intraoperative blood loss,and total incidence of complications were compared between the two groups.Results The total effectiveness rate of the observation group was 98.00%,which was higher than that of the control group(72.00%),with statistically significant difference(P<0.05).The operation time and hospital stay of the observation group were(45.21±1.02)min and(5.21±1.32)d,which were shorter than those of the control group for(77.13±1.32)min and(11.26±1.97)d,the intraoperative blood loss was(254.13±1.23)ml in the observation group,which was less than that in the control group for(365.25±1.97)ml,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 2.00%,which was lower than that in the control group accounting for 24.00%,with statistically significant difference(P<0.05).Conclusion The effect of endovascular interventional embolization for the treatment of cerebral aneurysm rupture is remarkable with few complications,which can significantly shorten the operation time and hospital stay and is worthy of study.