期刊文献+

开颅夹闭术和血管内介入栓塞术治疗脑动脉瘤的临床效果

下载PDF
导出
摘要 目的:探讨开颅夹闭术和血管内介入栓塞术治疗脑动脉瘤的临床效果。方法:选取2018年1月至2019年12月本院收治的200例脑动脉瘤患者,随机分为两组。对照组使用开颅夹闭术,观察组使用血管内介入栓塞术。比较脑动脉瘤患者术后的并发症率和预后情况。结果:观察组脑动脉瘤患者术后的破裂再出血、电解质紊乱、脑积水、脑梗死、肺部感染、血管痉挛、神经症状发生率12.00%(12/100)明显低于对照组的21.00%(21/100)(P<0.05);观察组脑动脉瘤患者术后的预后良好率89.00%(89/100)明显高于对照组的70.00%(70/100)(P<0.05)。结论:与开颅夹闭术相比较,血管内介入栓塞术对于脑动脉瘤患者有更好的临床效果,能明显减少术后的并发症,改善患者预后。
出处 《中外女性健康研究》 2020年第18期170-171,共2页 Women's Health Research
  • 相关文献

参考文献8

二级参考文献54

  • 1武中成,徐宁,刘海玉,于金录,王柏,王宏磊.老年颅内动脉瘤患者12例血管内栓塞治疗后复发的临床分析及处理[J].中国老年学杂志,2014,34(5):1371-1372. 被引量:10
  • 2万刚,朱安林,陈锐锋,林成.颅内动脉瘤血管内介入栓塞治疗术中预防出血并发症的经验探讨[J].中国实用神经疾病杂志,2013,16(18):27-29. 被引量:21
  • 3Molyneux AJ, Kerr RS, Birks J, et aL Risk of recurrent subarachnoidhaemorrhage, death,or dependence and standardised mortalityratios after clipping or coiling of an intracranial aneurysm in theInternational Subarachnoid Aneurysm Trial (ISAT): long-termfollow-up[J]. Lancet Neurol, 2009, 8: 427-433.
  • 4Smith TR, Cote DJ, Dasenbrock HH, et al. Comparison of theefficacy and safety of endovascular coiling versus microsurgicalclipping for unruptured middle cerebral artery aneurysms: asystematic review and meta-analysis[J]. World Neurosurg,2015,84: 942-953.
  • 5Zijlstra IA,Verbaan D,Majoie CB, et al. Coiling and clipping ofmiddle cerebral artery aneurysms: a systematic review on clinicaland imaging outcomefj]. J Neurointerv Surg, 2016,8: 24-29.
  • 6Phillips TJ, Dowling R J, Yah B, et al. Does treatment of ruptured intracranial aneurysms within 24 hours improve clinical outcome? [J]. Stroke, 2011, 42: 1936-1945.
  • 7Gu DQ, Zhang X, Luo B, et al. Impact of ultra-early coiling onclinical outcome after aneurysmal subarachnoid hemorrhage inelderly patients [J]. Acad Radiol, 2012, 19: 3-7.
  • 8Naidech AM,Janjua N, Kreiter KT, et al. Predictors and impactof aneurysm rebleeding after subarachnoid hemorrhage [ J ]. ArchNeurol, 2005, 62: 410-416.
  • 9Tanno Y, Homma M, Oinuma M, et al. Rebleeding from rupturedintracranial aneurysms in north eastern province of Japan. A cooper-ative study [J]. J Neurol Sci, 2007,258: 11-16.
  • 10Cha KC, Kim JH, Kang HI, et al. Aneurysmal rebleeding: factorsassociated with clinical outcome in the rebleeding patients[J]. JKorean Neurosurg Soc,2010,47: 119-123.

共引文献155

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部