中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
16期
41-42
,共2页
脑动脉瘤%破解%微小%急性期%栓塞治疗
腦動脈瘤%破解%微小%急性期%栓塞治療
뇌동맥류%파해%미소%급성기%전새치료
Cerebral aneurysm%Crack%Micro%Acute stage%Embolism treatment
目的：探讨破解微小脑动脉瘤急性期行栓塞治疗的临床效果。方法选取本院2012年1月~2013年1月收治的微小脑动脉瘤破裂急性期患者40例，随机分为对照组(15例)和观察组(25例)，对照组患者行开颅手术，观察组患者行动脉介入栓塞治疗，观察两组患者的临床疗效，并开展比较与分析。结果对照组2例患者发生了再出血情况，发现后立即开展了二次手术。观察组未发生再出血情况，经12个月随访亦无复发产生。对照组患者治疗的优良率为73.3%，观察组为88.0%，观察组显著好于对照组差异具有统计学意义(P<0.05)，对照组患者死亡率为6.7%，观察组为4.0%，两组患者的死亡率差异无统计学意义(P>0.05)。结论本次研究开展介入栓塞治疗获得的临床效果较好，能够明显改善患者的临床症状，使其生命体征恢复至稳定状态，并且再出血几率较低，值得进一步研究与推广。
目的：探討破解微小腦動脈瘤急性期行栓塞治療的臨床效果。方法選取本院2012年1月~2013年1月收治的微小腦動脈瘤破裂急性期患者40例，隨機分為對照組(15例)和觀察組(25例)，對照組患者行開顱手術，觀察組患者行動脈介入栓塞治療，觀察兩組患者的臨床療效，併開展比較與分析。結果對照組2例患者髮生瞭再齣血情況，髮現後立即開展瞭二次手術。觀察組未髮生再齣血情況，經12箇月隨訪亦無複髮產生。對照組患者治療的優良率為73.3%，觀察組為88.0%，觀察組顯著好于對照組差異具有統計學意義(P<0.05)，對照組患者死亡率為6.7%，觀察組為4.0%，兩組患者的死亡率差異無統計學意義(P>0.05)。結論本次研究開展介入栓塞治療穫得的臨床效果較好，能夠明顯改善患者的臨床癥狀，使其生命體徵恢複至穩定狀態，併且再齣血幾率較低，值得進一步研究與推廣。
목적：탐토파해미소뇌동맥류급성기행전새치료적림상효과。방법선취본원2012년1월~2013년1월수치적미소뇌동맥류파렬급성기환자40례，수궤분위대조조(15례)화관찰조(25례)，대조조환자행개로수술，관찰조환자행동맥개입전새치료，관찰량조환자적림상료효，병개전비교여분석。결과대조조2례환자발생료재출혈정황，발현후립즉개전료이차수술。관찰조미발생재출혈정황，경12개월수방역무복발산생。대조조환자치료적우량솔위73.3%，관찰조위88.0%，관찰조현저호우대조조차이구유통계학의의(P<0.05)，대조조환자사망솔위6.7%，관찰조위4.0%，량조환자적사망솔차이무통계학의의(P>0.05)。결론본차연구개전개입전새치료획득적림상효과교호，능구명현개선환자적림상증상，사기생명체정회복지은정상태，병차재출혈궤솔교저，치득진일보연구여추엄。
Objective To investigate the clinical effect of micro cerebral aneurysm embolization in acute period. Methods From January 2012 to January 2013, 40 cases of patients with acute rupture of micro cerebral aneurysm in our hospital were randomly divided into control group(15 cases) and observation group(25 cases), control group underwent surgical operation, observation group underwent arterial interventional therapy, the clinical observation of two groups of patients was compared and analyzed. Results 2 patients in control group had rebleeding, discovered immediately launched the second operation. The observation group no rebleeding occurred after 12 months follow-up. The control group patients. The excellent and good rate was 73.3%, 88%in the observation group, the observation group was significantly better than the control group with statistical significance (P<0.05), patients in control group was 6.7%, 4%in observation group, no significant difference in mortality rate of the two groups of patients (P>0.05). Conclusion This study carried out the clinical effect of interventional embolization for a better treatment, which can significantly improve the patients clinical symptoms, the vital signs of recovery to steady state, and a low probability of rebleeding, so it is worthy of further research and extension.
