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血管介入栓塞术治疗脑血管动脉瘤的临床研究
Clinical study on vascular interventional embolization in the treatment of cerebral aneurysm

微创医学 20211602期 页码:181-183+230

作者机构:河南科技大学第一附属医院影像中心导管室,河南省洛阳市471000

基金信息:

DOI:DOI:10.11864/j.issn.1673.2021.02.06

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  • 英文简介
  • 参考文献
目的探讨血管介入栓塞术治疗脑血管动脉瘤的临床效果。方法选取脑血管动脉瘤患者304例,利用电脑随机数法将患者分为对照组和研究组,各152例。对照组实施传统开颅夹闭手术治疗,研究组实施血管介入栓塞术治疗。对比两组患者预后情况、治疗前后Barthel指数、美国国立卫生研究院卒中量表(NIHSS)评分及并发症发生率。结果研究组患者预后情况优于对照组(P<0.05)。与治疗前相比,治疗后两组患者Barthel指数评分均增高,NIHSS评分均降低,且研究组Barthel指数评分高于对照组,NIHSS评分低于对照组(均P<0.05)。研究组总并发症发生率明显低于对照组(P<0.05)。结论血管介入栓塞术治疗脑血管动脉瘤的临床效果显著,可明显改善预后,对患者神经功能的损伤小且并发症发生风险低,可在临床中推广应用。
ObjectiveTo investigate the clinical effects of vascular interventional embolization in the treatment of cerebral aneurysm. MethodsA total of 304 patients with cerebral aneurysm were selected, and they were randomly divided into control group and study group, with 152 cases in each group. The control group was treated with traditional craniotomy clipping surgery, while the study group was treated with vascular interventional embolization. The prognosis, pre- and post-treatment Barthel index, National Institutes of Health Stroke Scale (NIHSS) score before and after treatment, and the incidence of complications were compared between the two groups. ResultsThe prognosis of the study group was superior to that of the control group (P<0.05). Compared with before treatment, the Barthel index scores of patients increased, while NIHSS scores decreased in both groups after treatment, and the Barthel index score of the study group was higher than that of the control group, while the NIHSS score was lower than that of the control group (all P<0.05). The incidence of total complications in the study group was significantly lower than that in the control group (P<0.05). ConclusionVascular interventional embolization for the treatment of cerebral aneurysm has a significant clinical effect, which can significantly improve the prognosis. It has little damage to neurological function and a low risk of complications in patients, and can be promoted in clinical application.

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