CAJ | 학술논문

目的探讨颅内动脉瘤施行早期动脉瘤夹闭术的临床效果.方法选择颅内动脉瘤患者72例,42例(44个动脉瘤)行显微手术夹闭(夹闭组),30例(33个动脉瘤)行血管栓塞术(栓塞组).观察两组患者预后评价和临床指标.结果两组GOS评价和mRS评价差异均无统计学意义(均P＞0.05).夹闭组住院时间、住院费用、完全闭塞率分别为(17.1±3.2)d、(5.5±1.2)万元、100.0％,均优于栓塞组的(9.1±2.6)d、(12.1±2.6)万元、83.3％(均P＜0.05)；两组脑血管瘤破裂率和并发症发生率差异均无统计学意义(x2=0.01、0.02,均P＞0.05).结论显微手术夹闭和血管栓塞预后疗效相当,各有优缺点,显微手术夹闭可以作为首选治疗方法,尤其适宜在基层医院推广应用.
목적 탐토로내동맥류시행조기동맥류협폐술적림상효과.방법 선택로내동맥류환자72례,42례(44개동맥류)행현미수술협폐(협폐조),30례(33개동맥류)행혈관전새술(전새조).관찰량조환자예후평개화림상지표.결과 량조GOS평개화mRS평개차이균무통계학의의(균P＞0.05).협폐조주원시간、주원비용、완전폐새솔분별위(17.1±3.2)d、(5.5±1.2)만원、100.0％,균우우전새조적(9.1±2.6)d、(12.1±2.6)만원、83.3％(균P＜0.05)；량조뇌혈관류파렬솔화병발증발생솔차이균무통계학의의(x2=0.01、0.02,균P＞0.05).결론 현미수술협폐화혈관전새예후료효상당,각유우결점,현미수술협폐가이작위수선치료방법,우기괄의재기층의원추엄응용.
Objective To investigate the clinical effects of early aneurysm surgery clipping in the treatment of intracranial aneurysm.Methods 72 patients with intracranial aneurysms were selected.42 patients (44 aneurysms) were taken microsurgical clipping( clipping group),30 patients( 33 aneurysms ) were taken vascular embolization(embolization group).The prognostic evaluation and clinical indicators of two groups were observed.Results There were no significant differences in GOS evaluation when discharge and mRS evaluation after postoperative 3 months in two groups(all P ＞0.05 ).The length of stay,hospital cost and complete occlusion rate of clipping group was ( 17.1 ± 3.2 ) d,( 5.5 ± 1.2) ten thousand yuan,100.0％,respectively,and better than those of embolization group [ (9.1 ± 2.6) d,( 12.1 ± 2.6) ten thousand yuan,83.3 ％ ] ( all P ＜ 0.05 ).There were no significant differences in cerebral aneurysms rupture rate and complication rate between the two group ( x2 =0.01,0.02,all P ＞ 0.05 ).Conclusion The microsurgical clipping has the therapeutic equivalence with embolization group,and has respective advantages and disadvantages.The microsurgical clipping could be the preferred treatment method,especially suitable for application in the primary hospital.