血管内介入疗法与显微神经外科手术治疗颅内动脉瘤的临床疗效

Clinical efficacy of endovascular interventional therapy and micro-neurosurgical surgery in the treatment of intracranial aneurysms

目的探讨血管内介入疗法与显微神经外科手术治疗颅内动脉瘤的临床疗效。方法将2019年6月—2021年11月本院收治的88例颅内动脉瘤患者分为显微组与介入组,每组各44例。比较两组的临床疗效、手术相关指标、并发症发生率和复发率。结果显微组的临床疗效和复发率均优于介入组,组间比较差异均有统计学意义(χ^(2)=4.141、3.880,均P<0.05);介入组手术相关指标、并发症发生率均优于显微组,组间比较差异均有统计学意义(t=27.842、13.538、10.213、10.983,χ^(2)=5.091,均P<0.05)。结论血管内介入疗法与显微神经外科手术治疗颅内动脉瘤均有较好疗效,但各有优势、劣势,应结合患者实际病情选择更为适合的治疗方案。

Objective To analyze the effects of endovascular interventional therapy and micro-neurosurgical surgery in the treatment of intracranial aneurysm.Methods A total of 88 patients with intracranial aneurysms treated in our hospital were divided into the microsurgery group and the intervention group,with 44 patients in each group.The clinical efficacy,surgery-related indicators,incidence of complications,and recurrence rates of the two groups were compared.Results The clinical efficacy and recurrence rate of the microsurgery group were both superior to those of the intervention group,with statistically significant differences between the groups(χ^(2)=4.141,3.880,both P<0.05);the surgery-related indicators and incidence of complications in the intervention group were superior to those in the microsurgery group,with statistically significant differences between the groups(t=27.842,13.538,10.213,10.983,χ^(2)=5.091,all P<0.05).Conclusion Both endovascular interventional therapy and micro-neurosurgical surgery have good efficacy in the treatment of intracranial aneurysms,but each has its advantages and disadvantages.A more suitable treatment plan should be chosen based on the actual condition of the patient.