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目的:研究颅内动脉瘤破裂出血的介入治疗时机及预后思路。方法:选取我院2011年10月-2014年10月间诊治的颅内动脉瘤破裂患者50例,将血管内治疗距发病时间不足3天的30例患者作为早期介入治疗组,即观察组,将时间超过3天的20例患者作为晚期介入治疗组,即对照组,对比观察两组患者的术后栓塞程度及预后情况。结果:在栓塞情况对比方面,观察组明显优于对照组,差异具有统计学意义(P<0.05);在治疗后预后情况方面,观察组明显优于对照组,差异具有统计学意义(P<0.05)。结论:颅内压动脉瘤破裂出血的介入治疗最佳时机应该为早期介入,这样不仅可以显著改善患者的栓塞情况,而且还能提高预后效果,值得临床推广使用。
Objective: To study the timing of interventional treatment and prognosis of intracranial aneurysm rupture and bleeding. Methods: Fifty patients with ruptured intracranial aneurysms who were diagnosed and treated in our hospital from October 2011 to October 2014 were enrolled in this study. 30 patients who were treated by endovascular treatment for less than 3 days were selected as early intervention group, 20 patients who took more than 3 days as the late-intervention group, that is, the control group, and the postoperative embolism and prognosis of the two groups were compared. Results: Compared with the control group, the observation group was significantly better than the control group (P <0.05); in the prognosis of the treatment group, the observation group was significantly better than the control group, the difference was statistically significant (P < 0.05). Conclusion: The best time for interventional treatment of ruptured intracranial aneurysm rupture should be early intervention, which can not only significantly improve the embolization of patients, but also improve the prognosis, which is worthy of clinical promotion.