CAJ | 학술논문

目的：观察手术夹闭与血管内介入治疗颅内宽颈动脉瘤的临床疗效。方法58例颅内宽颈动脉瘤患者随机分为手术夹闭组和血管介入组，各29例，分别给予手术夹闭和血管内介入治疗，观察两组患者治疗疗效。结果血管介入组血管完全闭塞率为86.21%，显著低于手术夹闭组的100.00%(P<0.05)；血管介入组住院时间短于手术夹闭组，日常生活活动能力(ADL)评分高于手术夹闭组，神经功能缺损评分(NIHSS评分)低于手术夹闭组，差异均有统计学意义(P<0.05)；血管介入组术后意识障碍、活动肢体障碍、动脉瘤再出血及胸积水发生率均显著低于手术夹闭组，差异均有统计学意义(P<0.05)。结论与手术夹闭相比，血管内介入治疗颅内宽颈动脉瘤具有远期疗效好、并发症少等优点，值得临床推广应用。
목적：관찰수술협폐여혈관내개입치료로내관경동맥류적림상료효。방법58례로내관경동맥류환자수궤분위수술협폐조화혈관개입조，각29례，분별급여수술협폐화혈관내개입치료，관찰량조환자치료료효。결과혈관개입조혈관완전폐새솔위86.21%，현저저우수술협폐조적100.00%(P<0.05)；혈관개입조주원시간단우수술협폐조，일상생활활동능력(ADL)평분고우수술협폐조，신경공능결손평분(NIHSS평분)저우수술협폐조，차이균유통계학의의(P<0.05)；혈관개입조술후의식장애、활동지체장애、동맥류재출혈급흉적수발생솔균현저저우수술협폐조，차이균유통계학의의(P<0.05)。결론여수술협폐상비，혈관내개입치료로내관경동맥류구유원기료효호、병발증소등우점，치득림상추엄응용。
Objective To observe the clinical effect of surgical clipping and intravascular intervention in the treatment of intracranial wide-necked aneurysms.Methods A total of 58 patients with intracranial wide-necked aneurysms were randomly divided into surgical clipping group and intravascular intervention group, with 29 cases in each group. They respectively received surgical clipping and intravascular intervention for treatment, and their curative effects were observed.Results The total vascular obliteration rate was 86.21% in the intravascular intervention group, which was lower than 100.00% in the surgical clipping group (P<0.05). The intravascular intervention group had shorter hospital stay, higher activities of daily living (ADL) score, and lower national institutes of health stroke scale (NIHSS) score than the surgical clipping group, and their differences all had statistical significance (P<0.05). The intravascular intervention group had much lower incidences of postoperative disturbance of consciousness and limb movement, rehaemorrhagia of aneurysms, and hydrothorax than the surgical clipping group, and their differences all had statistical significance (P<0.05).Conclusion Compared with surgical clipping, intravascular intervention has advantages as good long-term effect and few complications, and this method is worth clinical promotion and application.