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介入栓塞术与开颅夹闭术治疗前交通动脉瘤的疗效比较
Efficacy of interventional embolization versus craniotomy and clipping for treating anterior communicating aneurysm: a comparative study

微创医学 20191404期 页码:446-448

作者机构:广西百色市人民医院神经外科,百色市533000

基金信息:

DOI:10.11864/j.issn.1673.2019.04.12

  • 中文简介
  • 英文简介
  • 参考文献
目的对比介入栓塞术与开颅夹闭术治疗前交通动脉瘤的治疗效果。方法选取48例前交通动脉瘤患者,随机分为观察组和对照组,每组24例。观察组给予介入栓塞术治疗,对照组给予开颅夹闭术治疗,比较两组患者临床疗效、治疗后Hunt-Hess分级、格拉斯哥预后评分(GOS评分)以及术后并发症发生率。结果观察组总有效率为95.83%,显著高于对照组的75.00%,且观察组Hunt-Hess分级、GOS评分优于对照组,并发症发生率低于对照组(P<0.05)。结论介入栓塞术治疗前交通动脉瘤可提高临床疗效,促进患者功能的恢复,降低术后并发症发生率,治疗更安全,值得推广。
ObjectiveTo compare the therapeutic effects of interventional embolization with craniotomy and clipping for treating anterior communicating aneurysm. MethodsForty-eight patients with anterior communicating aneurysm were selected and randomly divided into observation group and control group, with 24 cases in each group. The observation group was given interventional embolization, while the control group was given craniotomy and clipping. Clinical efficacy, Hunt-Hess grade after treatment, Glasgow Outcome Scale(GOS) score, and incidence rate of postoperative complications were compared between the two groups. ResultsThe total effective rate in the observation group was 95.83%, which was significantly higher than 75.00% in the control group; in comparison with the control group, the observation group had superior Hunt-Hess grade and GOS score, and a lower incidence rate of complications (P<0.05). ConclusionInterventional embolization in the treatment of anterior communicating aneurysm can improve clinical efficacy, promote patients′ functional recovery, reduce the incidence rate of postoperative complications, and make the treatment much safer. It is worthy of promotion.

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