血管内栓塞介入治疗前交通动脉瘤的疗效分析

Analysis of curative effect of endovascular embolization interventional therapy on anterior communicating aneurysm

目的研究血管内栓塞介入治疗用于前交通动脉瘤的疗效。方法将研究对象确定为2017年3月-2020年3月新疆生产建设兵团第一师医院神经外科接诊的47例前交通动脉瘤患者,均进行血管内栓塞介入治疗,评价疗效。结果 47例患者均行血管内栓塞介入治疗,1例中转夹闭,其余全部栓塞成功,其中:(1)认知能力评分:治疗前(10.36±4.78)分,治疗后(25.43±1.17)分,P <0.05(T为20.9942,P为0.0000);(2)格拉斯哥昏迷评分:治疗前(8.24±1.22)分,治疗后(12.67±2.12)分,P<0.05(T为12.4165,P为0.0000);(3)并发症情况:术中并发1例血栓形成(2.13%)、3例术中动脉瘤破裂(6.38%)、10例一过性脑血管痉挛(21.28%),均经对症治疗后予以恢复,未影响手术实施;(4)手术用时(57.22±4.34)min,住院时间(5.56±1.33)d;(5)随访6个月,患者状态良好,无复发病例。结论为前交通动脉瘤患者进行血管内栓塞介入治疗,手术创伤小,患者认知功能恢复效果明显,且不易出现并发症,能够缩短住院时间,疗效确切。

Objective To study the efficacy of intravascular embolization interventional therapy for anterior communicating aneurysm.Methods The study subjects were identified as 47 patients with anterior communicating aneurysm who were admitted to the Department of Neurosurgery of the First Division Hospital of Xinjiang Production and Construction Corps from March 2017 to March 2020. All patients were treated with endovascular embolization and interventional therapy to evaluate the efficacy. Results All 47 patients underwent endovascular embolization interventional therapy, 1 was transferred to clip, and all the others were successfully embolized.Cognitive ability score before treatment was(10.36±4.78)points, but it became into(25.43±1.17)points after treatment,(P < 0.05)(T is 20.9942, P is 0.0000). Glasgow coma scorewas points before treatment(8.24.0000), and it was(12.67±2.12)points after treatment(P<0.05)(T is 12.4165, P is 0.0000). 1 case happened intraoperative thrombosis(2.13%), 3 cases had intraoperative aneurysm rupture(6.38%), 10 cases got transient cerebral vasospasm(21.28%), but all symptomatic were recovered after treatment without affecting the operation. The average operation time was(57.22±4.34)minutes, and the average hospital stay was(5.56±1.33)days. All patients were followed up for 6 months, and all patients were in good condition without recurrence. Conclusion Endovascular embolization interventional treatment on patients with anterior communicating artery aneurysm has minimal surgical trauma, better recovery of cognitive function, less complications, and shortened hospital stay, and it has definite curative effect.