【摘要】 目的比较显微外科夹闭和介入栓塞治疗颅内动脉瘤的疗效差异。方法选择2013年6月至2014年6月在青岛市胶州中心医院接受住院治疗的118例颅内动脉瘤患者作为研究对象,按照随机数字表法分为两组:观察组(59例)接受介入栓塞治疗;对照组(59例)接受纤维外科夹闭治疗。比较两组患者的术后一般指标、治疗效果及并发症发生率等情况。结果观察组患者接受介入栓塞治疗后的监护时间及总住院时间明显短于对照组,且总住院费用少于对照组(P<0.05);观察组患者接受治疗后的平均格拉斯哥预后评分明显高于对照组,临床疗效优于对照组(P<0.05);观察组患者的治疗并发症发生率明显低于对照组患者(P<0.05)。结论介入栓塞治疗可有效缩短颅内动脉瘤患者的住院时间及减少住院费用,改善疾病预后、降低相关并发症的发生率。更多还原

【Abstract】 Objective To compare the effect of microsurgical clipping and interventional embolization on patients with intracranial aneurysms. Methods Total of 118 cases with intracranial aneurysms admitted to Jiaozhou Central Hospital of Qingdao City from Jul. 2013 to Jul. 2014 were randomly divided into two groups:observation group( n = 59) treated with interventional embolization,and control group( n = 59) treated with microsurgical clipping. The postoperative general indicators,therapeutic effect and complication rates of the two groups were compared. Results After treatment,monitoring time and the total length of hospital stay time of the observation group were significantly shorter than the control group,and the total hospital cost was less than the control group( P < 0. 05). Average Glasgow outcome scale score of the observation group were significantly higher than the control group,and the clinical efficacy was better than the control group( P <0. 05); complications rate of the observation group patients was obviously lower than the control group( P <0. 05). Conclusion Interventional embolization can effectively reduce the hospitalization time and costs,improve the prognosis,and reduce the complications incidence of intracranial aneurysm patients.更多还原