颅内动脉瘤35例诊治分析

Analysis of diagnosis and treatment of 35 cases of intracranial aneurysm

目的对比分析开颅手术夹闭与介入栓塞治疗颅内动脉瘤。方法回顾分析2017年3月至2019年5月宁波市北仑区人民医院收治的35例颅内动脉瘤患者的临床资料,分析对比两组患者的并发症、住院时间、住院费用和预后。结果35例颅内动脉瘤中,手术夹闭12例,介入栓塞治疗23例。两组患者性别、年龄、术前Hunt-Hess分级比较差异无统计学意义。术后并发症的发生率和住院时间比较,手术组著均高于介入组(χ^2=6.134、3.080,P<0.05),但是手术组住院平均费用较介入组低(t=4.644,P<0.05)。经过早期治疗,两组患者的预后均较好,差异无统计学意义。结论血管内介入栓塞治疗颅内动脉瘤,术后并发症少,住院时间短,在基层医院适宜开展颅内动脉瘤血管内介入栓塞治疗。

Objective To compare and analyze the treatment of craniotomy clipping and interventional embolization for intracranial aneurysms.Methods The clinical data of 35 patients with intracranial aneurysm admitted in Beilun people hospital from March 2017 to May 2019 were analyzed retrospectively.The complications,length of stay,hospitalization cost and prognosis of the two groups were analyzed and compared.Results Of the 35 cases of intracranial aneurysms,12 cases accepted craniotomy clipping,while 23 cases accepted interventional embolization.There was no significant difference in gender,age,and Hunt-Hess classification between the two groups.Compared with intervention group,incidence of complications in the surgical group was higher,and the length of hospital stay was longer(χ^2=6.134,3.080,P<0.05).However,the average cost of hospitalization was lower in the surgical group(t=4.644,P<0.05).The prognosis was both good in the two groups,without statistical difference.Conclusion It is appropriate to perform intravascular interventional embolization for intracranial aneurysms in primary hospitals,because of its fewer postoperative complications and shorter hospital stay.