检验医学与临床2018，Vol.15Issue(5)：611-613,616,4.DOI:10.3969/j.issn.1672-9455.2018.05.011
血管内微导管介入治疗与夹闭手术治疗脑动脉瘤的临床效果比较
Comparison of effects of endovascular micro catheter interventional therapy and clipping surgery in patients with cerebral aneurysms
王志勇 1朱耀祖 1周有东 1王旭 1张海泉1
作者信息
- 1. 湖北文理学院附属襄阳市中心医院神经外科 441021
- 折叠
摘要
Abstract
Objective To investigate the differences of clinical effects of endovascular micro catheter inter-ventional therapy and clipping surgery in patients with cerebral aneurysms.Methods A total of 92 patients were selected as the subjects,who were diagnosed as cerebral aneurysm by clinical and laboratory diagnosis from January 2015 to December 2016.According to table of random number,patients were divided into A group(micro catheter interventional therapy)and B group(clipping surgery),46 cases in each group.The in-cidence of adverse reactions,embolism degree,recovery,coagulation index and quality of life in the two groups were compared and analyzed.Results The embolization effect of B group was significantly better than the A group(P<0.05).But mortality rate of B group was significantly higher than that of A group(P<0.05). There was no significant difference in the incidence of adverse effects and effectiveness in two groups(P>0.05).After 12 months of treatment,the rate of recurrence of A group was significantly higher than that of B group(P<0.05).Platelet count and D-dimer of A group were significantly higher than that of the B group (P<0.05).And the haemorrhage and hospitalization time of A group were significantly lower than that of B group(P<0.05),and the quality of life of A group was significantly higher than that of B group(P<0.05), but the operative time of A group was significantly higher than that of B group(P<0.05).Conclusion Com-pared with clipping operation,effect of endovascular micro catheter interventional therapy is relatively worse, and the recurrence rate is higher,but it has the advantages of improving the quality of life of patients signifi-cantly,as well as less trauma and shorter recovery.关键词
脑动脉瘤/血管介入术/夹闭手术/疗效Key words
cerebral aneurysm/vascular intervention/clipping surgery/curative effect分类
医药卫生引用本文复制引用
王志勇,朱耀祖,周有东,王旭,张海泉..血管内微导管介入治疗与夹闭手术治疗脑动脉瘤的临床效果比较[J].检验医学与临床,2018,15(5):611-613,616,4.
