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目的:讨论在治疗颅内破裂动脉瘤的过程中应用血管内栓塞的效果。方法:选择2012年7月~2013年1月在我院治疗的78例颅内破裂动脉瘤患者为研究对象,随机进行分组,观察组(血管内栓塞治疗组)39例,对照组(传统显微外科夹闭治疗组)39例,比较2组治疗效果。结果:观察组32例临床治愈,构成比为82.1%;5例好转,构成比为12.8%;2例术后病情恶化,构成比为5.1%,患者住院平均时间为15.6±4.6天。对照组31例临床治愈,构成比为79.5%;5例好转,构成比为12.8%;2例无变化,构成比为5.1%;1例术后病情恶化,构成比为2.6%,患者住院平均时间为21.4±5.2天。2组患者治疗效果上的比较差异不明显,P>0.05;住院时间比较差异显著,P<0.05。结论:将血管内栓塞治疗技术应用于颅内破裂动脉瘤急性期具有安全性高、并发症少等优点,能够有效降低再出血率、致残率及死亡率。
Objective: To discuss the effect of intravascular embolization in the treatment of intracranial ruptured aneurysms. Methods: A total of 78 patients with ruptured intracranial rupture aneurysm treated in our hospital from July 2012 to January 2013 were selected and randomly divided into observation group (embolization group) 39 cases and control group Micro-surgical clipping treatment group) 39 cases, the treatment effect of two groups were compared. Results: In the observation group, 32 cases were clinically cured, with a complication ratio of 82.1%; 5 cases improved with a complication ratio of 12.8%; 2 cases had worse postoperative condition with a complication ratio of 5.1% and a mean hospital stay time of 15.6 ± 4.6 days. In the control group, 31 cases were clinically cured, the constituent ratio was 79.5%; 5 cases improved, the constituent ratio was 12.8%; 2 cases did not change, the constituent ratio was 5.1%; 1 case postoperative deterioration, the constituent ratio was 2.6% The time is 21.4 ± 5.2 days. There was no significant difference in therapeutic effect between the two groups (P> 0.05). There was significant difference in hospitalization time (P <0.05). Conclusion: The application of endovascular embolization in the acute stage of ruptured intracranial rupture aneurysms has the advantages of high safety and few complications, and can effectively reduce the rate of rebleeding, disability and mortality.