CAJ | 학술논문

目的回顾性分析破裂性宽颈动脉瘤夹闭术及血管内治疗的疗效.方法确诊的143例破裂性宽颈动脉瘤患者分别采用夹闭术(83例)和血管内治疗(60例),对两组患者并发症发生率、复发率及出院后6个月改良Rankin评分进行比较.结果两组的并发症发生率、复发率及改良Rankin评分差异有统计学意义(P＜0.05),血管内治疗组较夹闭术组复发率高,但并发症少,患者预后好.结论血管内治疗破裂性宽颈动脉瘤安全、有效,患者有着更好的生存质量.
목적 회고성분석파렬성관경동맥류협폐술급혈관내치료적료효.방법 학진적143례파렬성관경동맥류환자분별채용협폐술(83례)화혈관내치료(60례),대량조환자병발증발생솔、복발솔급출원후6개월개량Rankin평분진행비교.결과 량조적병발증발생솔、복발솔급개량Rankin평분차이유통계학의의(P＜0.05),혈관내치료조교협폐술조복발솔고,단병발증소,환자예후호.결론 혈관내치료파렬성관경동맥류안전、유효,환자유착경호적생존질량.
Objective To analyze the clinical efficacy of clipping and endovascular treatment for ruptured wide - necked aneurysm.Methods 143 patients with ruptured wide - necked aneurysm were treated by clipping ( n =83) or endovascular treatment ( n =60).Their complication rates、recurrence rates and modified Rankin scale scores at six months after leaving hospital were evaluated.Results The complication rate in endovasular treatment group was less than that in clipping group( P ＜ 0.05) significantly.The recurrence rate in clipping group was less than that in endovasular treatment group ( P ＜ 0.05) significantly.The modified Rankin scale in endovasalar embolization group was less than that in clipping group ( P ＜ 0.05) significantly.Higher recurrence rate and lower complication rate were observed in endovasular treatment group.Patients with endovascular treatment had better prognosis.Conclusion Endovascular treatment for ruptured wide -necked aneurysm is efficient and safe.Better quality of life could be achieved.