CAJ | 학술논문

目的：探讨颅内大脑中动脉动脉瘤的介入栓塞治疗效果。方法将80例颅内大脑中脑动脉动脉瘤患者随机分为两组，分别采用显微镜下颅内动脉瘤夹闭术与血管内介入栓塞术治疗。比较两组格拉斯哥预后（ GOS）评分、Hunt-Hess分级及住院时间、术后并发症发生情况。结果两组术后Hunt-Hess分级比较，差异无统计学意义（ P ＞0．05）。观察组术后GOS评分高于对照组（ P ＜0．05），住院时间短于对照组（ P ＜0．01）。观察组患者出血破入脑室的比例为10．00％，低于对照组的32．50％（ P ＜0．05）。结论血管内介入栓塞的手术效果优于颅内动脉瘤夹闭术。
목적：탐토로내대뇌중동맥동맥류적개입전새치료효과。방법장80례로내대뇌중뇌동맥동맥류환자수궤분위량조，분별채용현미경하로내동맥류협폐술여혈관내개입전새술치료。비교량조격랍사가예후（ GOS）평분、Hunt-Hess분급급주원시간、술후병발증발생정황。결과량조술후Hunt-Hess분급비교，차이무통계학의의（ P ＞0．05）。관찰조술후GOS평분고우대조조（ P ＜0．05），주원시간단우대조조（ P ＜0．01）。관찰조환자출혈파입뇌실적비례위10．00％，저우대조조적32．50％（ P ＜0．05）。결론혈관내개입전새적수술효과우우로내동맥류협폐술。
Objective To study the effect of endovascular treatment of middle cerebral artery aneurysms with detachable coils . Methods Eighty patients with middle cerebral artery aneurysms were randomly divided into two groups ,and given intracranial aneu-rysm surgery respectively under the microscope and artery aneurysms with detachable coils .Glasgow score ( GOS score ) ,Hunt-Hess classification,length of hospital stay ,postoperative complications between two groups were compared .Rseults There was no statistical-ly significant difference between Hunt-Hess classification of the two groups after operation ( P >0.05).Postoperative GOS score of ob-servation group was higher than that of control group ( P <0.05).The hospital stay of observation group was shorter than that of control group( P <0.01).The rate of bleeding from breaking into the ventricle (10.00%)was lower than that of control group ( P <0.05). Conclusion Endovascular interventional embolization can achieve even better result than intracranial aneurysm surgery .