摘要
Abstract
Objective To evaluate the preoperative risk factors of interventional embolization and neurosurgical clipping in the treatment of intracranial aneurysm.Methods 120 Patients with intracranial aneurysm from March 2011 to March 2015 in our hospital were retrospectively analyzed,they were divided into group interventional embolization (60 cases)and group of neurosur-gical clipping (60 cases according to surgical methods).Preoperative related factors and postoperative recovery were noted,and the influences of gender,age,Fisher grades,Hunt-Hess classification,aneurysm site,ratio of long axis (AR),hypertension and hyper-glycemia on the clinical effect of interventional embolization and neurosurgical clipping in the treatment of intracranial aneurysm were analyzed.Results Age was a factor of surgical treatment,the prognosis of patients over the age of 60 were significantly worse than patients under 60 years of age (P <0.05).Patients of Fisher grading Ⅰ and Ⅱ showed a better prognosis than that of Fisher grading Ⅲ and Ⅳ (P <0.05);Hunt-Hess grade higher,the prognosis were worse,but there was no significant difference between the surgery of terventional embolization and neurosurgical clipping (P >0.05);the site of aneurysm had significantly in-fluence on prognosis (P <0.05),long-necked aneurysm and the aneurysm neck ratio (AR)had a greater impact on the group of terventional embolization;with the use of AR value increased,the efficacy of interventional embolization were significantly improved (P <0.05 ).Hypertension and hyperglycemia had less influence on interventional embolization (P > 0.05 ).Different ages for temporary occlusion of parent artery time tolerance led to differences in the prognosis (P < 0.05 ).Conclusion Age, Fisher grade,Hunt-Hess grade and aneurysm site were the common factors of interventional embolization and neurosurgical clip-ping in the treatment of intracranial aneurysm.关键词
颅内动脉瘤/开颅夹闭术/介入栓塞术/术前评估Key words
Intracranial aneurysms/Neurosurgical clipping/Interventional embolization/Preoperative evaluation分类
医药卫生
