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目的:探究不同方法对脑动脉瘤临床治疗疗效,为今后治疗脑动脉瘤提供可靠的参考依据。方法:选择2012年5月~2015年5月在我院就诊并收治的90例脑动脉瘤患者,随机分为开颅组和介入组,每组45例,开颅组患者进行脑动脉瘤夹闭术,介入组患者进行血管内介入栓塞术,总结两组患者术后恢复情况,并进行比较分析。结果:介入组:治愈37例(82.22%),致残7例(15.56%),死亡1例(2.22%);开颅组:治愈32例(71.11%),致残8例(17.78%),死亡5例(11.11%),经比较,介入组的治愈率明显高于开颅组,而致残率和死亡率明显低于开颅组,且差异明显,具有统计学意义(P<0.05)。结论:利用介入栓塞术治疗脑动脉瘤,成功率高,并发症少,值得医学上的深入研究和临床上的广泛推广。
Objective: To explore different methods of clinical treatment of cerebral aneurysms, and provide a reliable reference for the future treatment of cerebral aneurysms. Methods: From May 2012 to May 2015, 90 patients with cerebral aneurysm who were treated and treated in our hospital were randomly divided into craniotomy group and intervention group, with 45 patients in each group. Patients in craniotomy group underwent cerebral aneurysm clip In the interventional group, patients underwent endovascular embolization. The postoperative recovery of the two groups was summarized and compared. Results: In the intervention group, 37 cases were cured (82.22%), 7 cases (15.56%) were disabled and 1 died (2.22%). In the craniotomy group, 32 cases (71.11%) were cured and 8 cases (17.78% , And 5 deaths (11.11%). The cure rate of the intervention group was significantly higher than that of the craniotomy group, while the morbidity and mortality were significantly lower than those of the craniotomy group, with significant difference (P <0.05 ). Conclusion: The use of interventional embolization in the treatment of cerebral aneurysms, high success rate, fewer complications, it is worth further medical research and clinical widely disseminated.