介入栓塞术与传统开颅手术对脑动脉瘤的治疗效果对比分析

Comparative Analysis of the Therapeutic Effect of Interventional Embolization and Traditional Craniotomy on Cerebral Aneurysm

目的 分析在脑动脉瘤治疗中予以介入栓塞术与传统开颅手术治疗的临床效果。方法 选择2018年6月—2021年12月邳州市中医院收治的56例脑动脉瘤患者为研究对象,依据随机数表法将其分为对照组(28例,实施传统开颅手术治疗),观察组(28例,实施介入栓塞术治疗)。对比不同术式干预下两组治疗效果、围术期指标、并发症发生率及术后生活能力。结果 观察组疗效(96.43%)高于对照组(71.43%),差异有统计学意义(χ^(2)=4.766,P<0.05)。观察组手术及住院时间为(135.26±28.79)min、(11.36±2.74)d,短于对照组的(188.25±31.47)min、(17.55±3.62)d,差异有统计学意义(t=6.574、7.215,P<0.05)。观察组并发症发生率为10.71%,低于对照组的39.29%,差异有统计学意义(χ^(2)=6.095,P<0.05)。术后3个月生活能力对比,观察组BI评分为(90.53±8.65)分,高于对照组的(82.26±6.77)分,差异有统计学意义(t=3.984,P<0.05)。结论 在脑动脉瘤治疗中,对比传统开颅手术,介入栓塞术效果更为理想,手术时间短,术后并发症少,且患者预后生活自理能力恢复理想,值得推广。

Objective To analyze the clinical effect of interventional embolization and traditional craniotomy in the treatment of cerebral aneurysm.Methods Fifty-six patients with cerebral aneurysm admitted to Pizhou Hospital of Traditional Chinese Medicine from June 2018 to December 2021 were selected as the research objects. According to random number table, they were divided into control group(28 cases, treated by traditional craniotomy) and observation group(28 cases, treated by interventional embolization). The therapeutic effects, perioperative indicators, complication rates and postoperative living ability were compared between the two groups under different surgical interventions.Results The curative effect of the observation group(96.43%) was higher than that of the control group(71.43%), and the difference was statistically significant(χ^(2)=4.766, P<0.05). The operation and hospitalization time of observation group were(135.26±28.79) min and(11.36±2.74) d, which were shorter than the control group(188.25±31.47) min,(17.55±3.62) d, the difference was statistically significant(t=6.574, 7.215, P<0.05). The incidence of complications in the observation group was 10.71%, which was lower than 39.29% in the control group, and the difference was statistically significant(χ^(2)=6.095, P<0.05). Compared with the living ability 3 months after operation, the BI score of the observation group was(90.53±8.65) points, which was higher than that of the control group(82.26±6.77) points,and the difference was statistically significant(t=3.984, P<0.05).Conclusion In the treatment of cerebral aneurysm,compared with traditional craniotomy, interventional embolization is more effective, with shorter operation time, fewer postoperative complications, and the recovery of patients’ self-care ability is satisfactory, which is worthy of promotion.