动脉瘤开颅夹闭的手术治疗临床效果评价

Evaluation of the Clinical Effect of Surgical Treatment of Aneurysm Craniotomy and Clipping

目的分析动脉瘤开颅夹闭的手术治疗临床效果。方法将于2018年1月—2019年2月该院收治的42例动脉瘤破裂患者作为观察对象,利用数字分配法将患者随机分为两组,观察组患者21例,对照组患者21例,对观察组给予动脉瘤开颅夹闭的手术治疗,对照组患者实施血管栓塞介入治疗,对比观察两组患者临床指标(住院时间、MM-2水平、住院费用)、手术效果、术后并发症(尿路感染、脑积水、肺部感染、血管痉挛、电解质紊乱)及患者的不良预后情况(轻度残疾、重度残疾、植物人、死亡)。结果观察组不良预后1例(4.76%),相比于对照组7例(33.33%),差异有统计学意义(χ^(2)=5.559,P=0.018)。观察组手术优良率(95.24%)与对照组(47.62%)比较,差异有统计学意义(χ^(2)=11.667,P=0.001)。观察组临床指标相比于对照组,差异有统计学意义(P<0.05),观察组患者术后并发症(尿路感染、脑积水、肺部感染、血管痉挛、电解质紊乱)2例(9.52%)与对照组8例(38.10%)比较,差异有统计学意义(χ^(2)=4.725,P=0.030)。结论应用动脉瘤开颅夹闭的手术治疗,能够有效减少并发症,缩短恢复时间,患者术后预后情况良好。

Objective To analyze the clinical effect of surgical treatment of aneurysm craniotomy and clipping.Methods The 42 patients with ruptured aneurysm who will be admitted to the hospital from January 2018 to February 2019 will be used as observation objects.The patients will be randomly divided into two groups using the number assignment method.There were 21 patients in the observation group and 21 patients in the control group.The observation group was given surgical treatment for craniotomy and clipping of the aneurysm,and the control group was given vascular embolization interventional treatment.The clinical indicators(hospital length,MM-2 level,hospitalization cost),surgical effect,and postoperative complications(comparison of urinary tract infection,hydrocephalus,lung infection,vasospasm,electrolyte imbalance)and the poor prognosis of patients(mild disability,severe disability,vegetative,death).Results 1 case(4.76%)in the observation group had a poor prognosis compared with 7 cases(33.33%)in the control group,and the difference was statistically significant(χ^(2)=5.559,P=0.018).The excellent and good rate of operation in the observation group was 20 cases(95.24%),was better than that of the control group(47.62%).The difference was statistically significant(χ^(2)=11.667,P=0.001).Compared with the control group,the clinical indicators of the observation group have statistically significant differences(P<0.05).Postoperative complications of the observation group(urinary tract infection,hydrocephalus,lung infection,vasospasm,electrolyte disturbance)2 cases(9.52%),compared with 8 cases(38.10%)of the control group,the difference was statistically significant(χ^(2)=4.725,P=0.030).Conclusion The surgical treatment of aneurysm craniotomy and clipping can effectively reduce complications and shorten the recovery time.The postoperative prognosis of patients is good.