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目的研究分析介入栓塞术和开颅手术在脑动脉瘤破裂出血中的临床应用效果。方法抽取本院2009年8月~2013年8月的脑动脉瘤破裂出血患者56例作为研究对象,将其分为治疗组29例、对照组27例,予治疗组以介入栓塞术,予对照组以开颅手术,对比分析两种手术方式的临床效果。结果对术后患者进行随访,并根据预后情况进行等级评定,可得治疗组的优良率为89.66%,死亡率为3.45%;对照组的优良率为51.85%,死亡率为25.93%。治疗组术后发生脑梗死、脑积水、再次出血的比例均比对照组低,预后良好。结论介入栓塞术具有手术微创、高优良率、低死亡率、少并发症等特点,为脑动脉瘤破裂出血的首选手术治疗方式。
Objective To study the clinical effect of interventional embolization and craniotomy on ruptured hemorrhage of cerebral aneurysm. Methods Fifty-six patients with cerebral aneurysm rupture and hemorrhage from August 2009 to August 2013 in our hospital were divided into treatment group (n = 29) and control group (n = 27). The intervention group received interventional embolization Group craniotomy, comparative analysis of the clinical effect of the two surgical methods. Results The postoperative patients were followed up and graded according to the prognosis. The excellent and good rate of the treatment group was 89.66% and the mortality rate was 3.45%. In the control group, the excellent and good rate was 51.85% and the mortality rate was 25.93%. The incidence of cerebral infarction, hydrocephalus and rebleeding in the treatment group were lower than those in the control group, and the prognosis was good. Conclusion Interventional embolization has the characteristics of minimally invasive surgery, high rate of good, low mortality and few complications. It is the first choice for surgical treatment of ruptured cerebral aneurysm.