颅内动脉瘤介入栓塞和开颅夹闭对比分析

ComParative Analysis of Intracranial Aneurysm Interventional Embolization and Craniotomy ClamPing

目的对比分析介入栓塞和开颅夹闭治疗颅内动脉瘤的效果。方法回顾性分析2018年5月-2019年10月我院收治的颅内动脉瘤患者66例临床资料,根据治疗方案不同分为介入组(33例)和夹闭组(33例),比较手术效果及并发症发生情况。结果介入组的住院时间比夹闭组短,有统计学意义(P<0.05),但治疗费用、GCS评分、VAS评分均比夹闭组高,有统计学意义(P<0.05);两组患者发生动脉瘤破裂、血管痉挛、脑积水的比例相比,无统计学意义(P>0.05),但介入组发生感染的几率比夹闭组低,有统计学意义(P<0.05)。结论介入栓塞和开颅夹闭均能有效治疗颅内动脉瘤,在临床中应综合考虑患者的经济、医院条件等因素,选择最佳的治疗方式。

Objective To compare and analyze the effects of interventional embolization and craniotomy clipping on intracranial aneurysms.Methods 66 patients with intracranial aneurysm admitted to our hospital from May 2018 to October 2019 were selected and divided into interventional group and clipping group by binocular blind selection method.The operation effect and complications were compared.Results The hospitalization time of interventional group was shorter than that of clamping group(P<0.05),but the treatment cost, GCS score and VAS score were higher than that of clamping group(P<0.05).There was no significant difference in the incidence of aneurysm rupture, vasospasm and hydrocephalus between the two groups(P>0.05),but the incidence of infection in interventional group was lower than that in clamping group(P<0.05).Conclusion Interventional embolization and craniotomy clipping can effectively treat intracranial aneurysms.In clinical practice, factors such as the patient′s economy and hospital conditions should be considered comprehensively to select the best treatment method.