中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
87-88
,共2页
脑动静脉畸形%血管栓塞%手术%治疗
腦動靜脈畸形%血管栓塞%手術%治療
뇌동정맥기형%혈관전새%수술%치료
Cerebral arteriovenous malformations%Endovascular embolization%Surgery%Treatment
目的 比较不同方式治疗低级别幕上脑动静脉畸形的临床效果. 方法 随机选取该院自2013年3月—2015年3月收治的60例低级别幕上脑动静脉畸形患者作为研究对象,随机分为A、B两组,B组给予血管内栓塞治疗方案,A组采用显微外科手术方案,比较两组患者的治疗效果. 结果 A组治疗总有效率为90.0%,B组总有效率为96.7%,两组治疗有效率对比差异无统计学意义(P>0.05);A组并发症发生率为33.3%,B组并发症发生率为10.0%,两组并发症发生率对比差异有统计学意义(P<0.05);A组住院时间为(25.4±2.3)d,B组为(14.9±1.6)d,两组住院时间对比差异有统计学意义(P<0.05). 结论 在低级别幕上脑动静脉畸形患者的临床治疗中,采用血管栓塞方案,临床治疗有效率高,患者并发症发生率低,住院时间短,值得推广.
目的 比較不同方式治療低級彆幕上腦動靜脈畸形的臨床效果. 方法 隨機選取該院自2013年3月—2015年3月收治的60例低級彆幕上腦動靜脈畸形患者作為研究對象,隨機分為A、B兩組,B組給予血管內栓塞治療方案,A組採用顯微外科手術方案,比較兩組患者的治療效果. 結果 A組治療總有效率為90.0%,B組總有效率為96.7%,兩組治療有效率對比差異無統計學意義(P>0.05);A組併髮癥髮生率為33.3%,B組併髮癥髮生率為10.0%,兩組併髮癥髮生率對比差異有統計學意義(P<0.05);A組住院時間為(25.4±2.3)d,B組為(14.9±1.6)d,兩組住院時間對比差異有統計學意義(P<0.05). 結論 在低級彆幕上腦動靜脈畸形患者的臨床治療中,採用血管栓塞方案,臨床治療有效率高,患者併髮癥髮生率低,住院時間短,值得推廣.
목적 비교불동방식치료저급별막상뇌동정맥기형적림상효과. 방법 수궤선취해원자2013년3월—2015년3월수치적60례저급별막상뇌동정맥기형환자작위연구대상,수궤분위A、B량조,B조급여혈관내전새치료방안,A조채용현미외과수술방안,비교량조환자적치료효과. 결과 A조치료총유효솔위90.0%,B조총유효솔위96.7%,량조치료유효솔대비차이무통계학의의(P>0.05);A조병발증발생솔위33.3%,B조병발증발생솔위10.0%,량조병발증발생솔대비차이유통계학의의(P<0.05);A조주원시간위(25.4±2.3)d,B조위(14.9±1.6)d,량조주원시간대비차이유통계학의의(P<0.05). 결론 재저급별막상뇌동정맥기형환자적림상치료중,채용혈관전새방안,림상치료유효솔고,환자병발증발생솔저,주원시간단,치득추엄.
Objective To compare the clinical effect of different modes for treating low-level supratentorial cerebral arteriovenous malformations. Methods 60 cases of patients with low-level supratentorial cerebral arteriovenous malformations admitted into the hospital from March 2013 to March 2015 were selected as the research object and were randomly divided into two groups:group A and group B. Group B received endovascular embolization therapy while group A received microsurgical operation scheme. The treatment effects were compared between the two groups. Results The total effective rate of group A was 90.0%while that of group B was 96.7% and the difference was not statistically significant (P > 0.05); The occurrence rate of complications in group A was 33.3%while that in group B was 10.0%and the difference was statistically significant (P<0.05);the length of stay of group A was (25.4±2.3d) while of group B was (14.9±1.6) d and the difference was statistically significant (P<0.05). Conclusion In the treatment of low-level supratentorial cerebral arteriovenous malformations, the scheme of endovascular embolization can produce high clini-cal efficacy, lower complication rate and shorter hospitalization time, therefore this method is worthy of promotion.
