CAJ | 학술논문

目的：评价急诊开颅夹闭联合脑室穿刺治疗中高级别颅内动脉破裂动脉瘤的疗效。方法选择从2011年4月-2015年4月于该院就诊的64例动脉瘤患者，简单随机分为试验组和对照组，对照组予传统颅内动脉瘤开颅夹闭术，试验组先行脑室穿刺后行颅内动脉瘤开颅夹闭术。观察两组患者治疗前及术后神经系统评分情况，治疗过程中并发症情况。结果两组患者治疗后GCS评分较治疗前均有所提高(P<0.05)，且试验组差异有统计学意义(P<0.05)。试验组患者GOS评分优于对照组患者(P<0.05)，试验组患者的临床疗效优于对照组(χ2=4.43,P=0.04)。试验组患者治疗及随访过程中并发症发生率低于对照组患者(χ2=9.14,P=0.00)。结论急诊开颅夹闭联合脑室穿刺治疗中高级别颅内动脉破裂动脉瘤临床疗效良好，且治疗及随访过程中并发症发生率低。
목적：평개급진개로협폐연합뇌실천자치료중고급별로내동맥파렬동맥류적료효。방법선택종2011년4월-2015년4월우해원취진적64례동맥류환자，간단수궤분위시험조화대조조，대조조여전통로내동맥류개로협폐술，시험조선행뇌실천자후행로내동맥류개로협폐술。관찰량조환자치료전급술후신경계통평분정황，치료과정중병발증정황。결과량조환자치료후GCS평분교치료전균유소제고(P<0.05)，차시험조차이유통계학의의(P<0.05)。시험조환자GOS평분우우대조조환자(P<0.05)，시험조환자적림상료효우우대조조(χ2=4.43,P=0.04)。시험조환자치료급수방과정중병발증발생솔저우대조조환자(χ2=9.14,P=0.00)。결론급진개로협폐연합뇌실천자치료중고급별로내동맥파렬동맥류림상료효량호，차치료급수방과정중병발증발생솔저。
Objective To evaluate the curative effect of the middle and high level of ruptured intracranial arterial aneurysm treated by emergency craniotomy clipping combined with ventriculopuncture. Methods 64 patients with aneurysm were ad-mitted in our hospital from April 2011 to April 2015, and simply randomly divided into the experimental group and the control group. The control group was treated with the traditional craniotomy clipping, while the experimental group was treated with emergency craniotomy clipping followed by ventriculopuncture. Neurological score and complications were ob-served before treatment and postoperatively. Results After treatment, GCS score was improved more significantly than before in two groups (P<0.05), and the improvement in experimental group was more obvious (P<0.05). GOS score of experimental group was better than that of control group (P<0.05), meanwhile, the clinical curative effect of the group was better than that of control group(χ2=4.43,P=0.04). The complication rate of patients in the process of treatment and follow-up were lower in the observation group than in the control group (χ2=9.14, P=0.00). Conclusion The curative effect of the middle and high level of ruptured intracranial arterial aneurysm treated by emergency craniotomy clipping combined with ventriculopuncture is good, and the complication rate of patients in the process of treatment and follow-up are lower.