摘要
Abstract
Objective:To explore the clinical efficacy and safety of interventional therapy and clipping treatment on patients with World Federation of Neurosurgical Societies(WFNS) high grade aneurysm subarachnoid hemorrhage.Method:A total of 79 patients with high-grade aneurysmal subarachnoid hemorrhage were selected in our hospital from April 2011 to April 2015 as the research objects,they were divided into the control group and the observation group according to the sequence of admission time.The control group received interventional embolization treatment and the observation group received clipping operation treatment.The Fisher classification, prognosis after 3 months of surgery and complication rate in two groups were compared.Result:The number ofFisher levelⅡin the observation group was significantly higher than the control group,and the number of Fisher level Ⅳ was significantly less than the control group,the differences were statistically significant(P<0.05). The GOS better prognosis rate after 3 months of surgery in the observation group was 80.0%,significantly higher than 59.0% of the control group,the Barthel index score of the observation group after 3 months of surgery was (82.14±6.14),significantly higher than (69.45±6.77)of the control group,the differences were statistically significant(P<0.05).The complication rate of observation group was 2.5%,which was significantly lower than 15.4% of the control group,the difference was statistically significant(P<0.05).Conclusion:The clipping treatment of high-grade aneurysms subarachnoid hemorrhage has better therapeutic effect,can effectively remove the intracranial hemorrhage and improve the prognosis of nerve function,the safety is high,it is worth of clinical promotion.关键词
介入栓塞/手术夹闭/高分级动脉瘤性蛛网膜下腔出血/对比研究Key words
Interventional embolization/Surgical clipping/High-grade of aneurysms subarachnoid hemorrhage/Comparative study
