新医学Issue(1):32-35,4.DOI:10.3969/g.issn.0253-9802.2015.01.008
大脑中动脉动脉瘤介入栓塞与手术夹闭的疗效对比研究
Comparison of clinical efficacy and prognosis between embolization and surgical clipping in treatment of middle cerebral artery aneurysm
罗伟坚 1陈东1
作者信息
- 1. 518000 深圳,暨南大学第二临床医学院深圳市人民医院神经外科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy and prognosis between embolization and sur-gical clipping in treatment of middle cerebral artery aneurysm (MCAA).Methods Forty-five patients diag-nosed with MCAA were randomly divided into groups A and B.Patients in group A were treated by embolization and those in group B underwent surgical clipping.The clinical efficacy and prognosis were compared between two groups.Results At postoperative 3 d,the GCS score in group A was significantly higher than that in group B,whereas the degree of vasospasm in group A was significantly lower compared with that in group B (both P <0.05).The GCS score and degree of vasospasm did not significantly differ between groups A and B at postoperative 7 and 14 d (both P >0.05).The modified Rankin scale did not significantly differ between two groups at postoperative 30 d (P >0.05).Conclusion Embolization and surgical clipping had similar long-term efficacy in treatment of MCA,whereas embolization can provide higher efficacy during early stage.关键词
大脑中动脉动脉瘤/手术夹闭/介入栓塞Key words
Middle cerebral artery aneurysm/Embolization/Surgical clipping引用本文复制引用
罗伟坚,陈东..大脑中动脉动脉瘤介入栓塞与手术夹闭的疗效对比研究[J].新医学,2015,(1):32-35,4.