【摘要】 目的探讨破解微小脑动脉瘤急性期行栓塞治疗的临床效果。方法选取本院2012年1月~2013年1月收治的微小脑动脉瘤破裂急性期患者40例,随机分为对照组(15例)和观察组(25例),对照组患者行开颅手术,观察组患者行动脉介入栓塞治疗,观察两组患者的临床疗效,并开展比较与分析。结果对照组2例患者发生了再出血情况,发现后立即开展了二次手术。观察组未发生再出血情况,经12个月随访亦无复发产生。对照组患者治疗的优良率为73.3%,观察组为88.0%,观察组显著好于对照组差异具有统计学意义(P<0.05),对照组患者死亡率为6.7%,观察组为4.0%,两组患者的死亡率差异无统计学意义(P>0.05)。结论本次研究开展介入栓塞治疗获得的临床效果较好,能够明显改善患者的临床症状,使其生命体征恢复至稳定状态,并且再出血几率较低,值得进一步研究与推广。更多还原

【Abstract】 Objective To investigate the clinical effect of micro cerebral aneurysm embolization in acute period. Methods From January 2012 to January 2013, 40 cases of patients with acute rupture of micro cerebral aneurysm in our hospital were randomly divided into control group(15 cases) and observation group(25cases), control group underwent surgical operation, observation group underwent arterial interventional therapy,the clinical observation of two groups of patients was compared and analyzed. Results 2 patients in control group had rebleeding, discovered immediately launched the second operation. The observation group no rebleeding occurred after 12 months follow-up. The control group patients. The excellent and good rate was 73.3%, 88%in the observation group, the observation group was significantly better than the control group with statisticalsignificance(P<0.05), patients in control group was 6.7%, 4% in observation group, no significant difference in mortality rate of the two groups of patients(P>0.05). Conclusion This study carried out the clinical effect of interventional embolization for a better treatment, which can significantly improve the patients clinical symptoms,the vital signs of recovery to steady state, and a low probability of rebleeding, so it is worthy of further research and extension.更多还原