血管内介入疗法和显微神经外科手术治疗颅内动脉瘤的疗效对比研究

Comparative Study of the Efficacy of Intravascular Interventional Therapy and Microneurosurgical Treatment of Intracranial Aneurysms

目的分析比较颅内动脉瘤应用血管内介入疗法和显微神经外科手术治疗的效果。方法于该院2016年3月-2019年3月收治的颅内动脉瘤患者中简单随机选取100例,分为两组,对照组给予血管内介入疗法,研究组采用显微神经外科手术治疗,比较两组治疗效果。结果研究组的疾病恢复良好率为80.0%,高于对照组的60.0%,差异有统计学意义(χ^2=4.762,P<0.05)。研究组手术时间为(93.4±7.3)min,住院时间为(17.6±2.5)d,与对照组比较均显著延长,差异有统计学意义(t=11.150、10.809,P<0.05),研究组术中出血量为(136.8±6.9)mL,多于对照组的(88.6±4.5)mL,差异有统计学意义(t=41.374,P<0.05)。研究组并发症发生率为22.0%,对照组并发症发生率为4.0%,两组并发症比较,组间差异有统计学意义(χ^2=7.162,P<0.05)。结论显微神经外科手术治疗颅内动脉瘤的效果优于血管内介入疗法,但血管内介入疗法给患者造成的损伤更小,并发症更少,术后恢复更快,临床上可根据患者具体情况选择合适的手术方法。

Objective To analyze and compare the effects of intravascular interventional therapy and microneurosurgical treatment of intracranial aneurysms.Methods A total of 100 patients with intracranial aneurysms treated in the hospital from March 2016 to March 2019 were simplely randomly selected and divided into two groups.The control group was treated with endovascular interventional therapy.The research group was treated with microneurosurgical surgery.Compare the treatment effects of the two groups.Results The disease recovery rate in the study group was 80.0%,which was higher than the 60.0%in the control group.The difference was statistically significant(χ^2=4.762,P<0.05).The operation time in the study group was(93.4±7.3)min,and the length of hospital stay was(17.6±2.5)d.Compared with the control group,the operation time was significantly longer(t=11.150,10.809,P<0.05).The intraoperative blood loss was(136.8±6.9)mL,more than(88.6±4.5)mL of the control group,all had significant differences(t=41.374,P<0.05).The complication rate of the study group was 22.0%,and the complication rate of the control group was 4.0%.Comparing the complications between the two groups,the difference was significant(χ^2=7.162,P<0.05).Conclusion Microneurosurgical treatment of intracranial aneurysms is more effective than endovascular interventional therapy,but endovascular interventional therapy causes less damage to patients,fewer complications,and faster postoperative recovery,which can choose the appropriate surgical method for the situation.