微小动脉瘤的介入弹簧圈栓塞的临床疗效分析

Analysis of Clinical Efficacy of Interventional Coil Embolization for Microaneurysms

目的:探讨神经外科微小动脉瘤的介入弹簧圈栓塞的临床效果。方法:搜集2015年3月~2018年4月在本科室接受治疗的132例微小动脉瘤患者的病历资料进行回顾性分析,已实施显微外科手术的62例患者为显微组,已实施介入弹簧圈栓塞治疗的70例患者为介入组,评价两种治疗方式的预后效果和治疗中不良反应发生情况。结果:①半年后格拉斯哥预后评分介入组良好率64.3%较显微组45.2%高,χ^2=12.238,P<0.05;②介入组患者治疗中不良反应发生率(11.4%)低于显微组患者(19.4%),χ^2=9.146,P<0.05。结论:介入弹簧圈栓塞治疗颅内微小动脉瘤破裂创伤小,术后患者恢复良好,并发症少,是一种更有效的治疗方式。

Objective:To investigate the clinical effect of interventional coil embolization for small aneurysms in neurosurgery.Methods:The medical records of 132 patients with micro aneurysms who were treated in our department from March 2015 to April 2018 were collected and analyzed retrospectively.62 patients who had undergone microsurgery were selected as the microscopic group,and 70 patients who had been treated with interventional coil embolization were selected as the intervention group.Results:①Half a year later,the good rate of Glasgow Outcome Score in interventional group was 64.3%higher than that in microscopic group(45.2%),χ^2=12.238,P<0.05;②The incidence of adverse reactions in interventional group(11.4%)was lower than that in microscopic group(19.4%),χ^2=9.146,P<0.05.Conclusion:Interventional coil embolization is a more effective treatment for ruptured intracranial micro aneurysms with less trauma,better postoperative recovery and fewer complications.It is a more effective treatment.