论文部分内容阅读
目的:系统地对比在颅内动脉瘤的治疗中应用显微外科夹闭与介入栓塞治疗的实际价值。方法:选取2014年9月至2015年7月佛山市顺德第一人民院收治的71例颅内动脉瘤患者,按治疗方式分组,观察组43例与对照组28例分别行介入栓塞治疗与显微外科夹闭治疗。治疗后,对比两组格拉斯哥昏迷评分(GOS)量表疗效、完全闭塞率、住院时间和并发症的发生率。结果:两组GOS量表疗效比较,差异具有统计学意义(P<0.05);与此同时,观察组的完全闭塞率是95.3%,住院时间是(15.2±4.1)d,并发症的发生率是7.0%,对照组的完全闭塞率是75.0%,住院时间是(20.3±3.9)d,并发症的发生率是32.4%,差异均具有统计学意义(P<0.05)。结论:在颅内动脉瘤的治疗中,与显微外科夹闭疗法比较,介入栓塞疗法的效果更佳,能够有效地改善GOS量表疗效和完全闭塞率,减少并发症和患者的住院时间。
OBJECTIVE: To systematically contrast the practical value of microsurgical clipping and interventional embolization in the treatment of intracranial aneurysms. Methods: From September 2014 to July 2015, 71 patients with intracranial aneurysm admitted to First People’s Hospital of Shunde, Foshan City were selected according to the way of treatment. 43 patients in the observation group and 28 patients in the control group were treated with interventional embolization Micro-surgical clipping treatment. After treatment, the comparisons of Glasgow Coma Scale (GOS) scale efficacy, complete occlusion rate, length of stay, and complication rates were performed. Results: There was significant difference between the two groups in the efficacy of GOS (P <0.05). At the same time, the complete occlusion rate in the observation group was 95.3% and the length of hospital stay was (15.2 ± 4.1) days. The complication rate Was 7.0%. The complete occlusion rate in the control group was 75.0%, the length of stay in hospital was (20.3 ± 3.9) days, and the complication rate was 32.4%. The difference was statistically significant (P <0.05). Conclusion: Compared with microsurgical occlusion therapy, interventional embolization is more effective in the treatment of intracranial aneurysms, which can effectively improve the efficacy and complete occlusion rate of GOS and reduce complications and hospitalization time.