【摘要】 目的探究超声辅助技术在开颅夹闭术治疗颅内远端动脉瘤(PIA)中的应用效果。方法选取广东省江门市中心医院2017年9月～2020年7月收治的PIA患者100例进行回顾性分析,按照是否开展超声辅助技术分为对照组(50例)与观察组(50例),未开展超声辅助技术的开颅夹闭手术者为对照组,开展超声辅助技术的开颅夹闭手术者为观察组,比较两组开颅夹闭效果,手术时间、住院时间及术后并发症发生情况,随访2个月评价两组患者出院时、出院后1个月、出院后2个月的格拉斯哥预后评分(GOS)。结果观察组完全夹闭率(100.00%)高于对照组(90.00%),差异有统计学意义(P<0.05);观察组手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率(4.00%)低于对照组(20.00%),差异有统计学意义(P<0.05);观察组出院时、出院后1个月、出院后2个月GOS评分均高于对照组,差异有统计学意义(P<0.05)。结论超声辅助技术在开颅夹闭手术治疗PIA中应用可提升夹闭效果,缩短手术时间、住院时间,降低术后并发症,提升预后。更多还原

【Abstract】 Objective To explore the application effect of ultrasound-assisted technology in the treatment of intracranial distal aneurysms(PIA) with craniotomy and clipping. Methods A total of 100 PIA patients admitted to Jiangmen Central Hospital of Guangdong Province from September 2017 to July 2020 were selected for retrospective analysis. Accorded to whether ultrasound assisted technology was carried out, they were divided into control group(50 cases) and observation group(50 cases), those who did not perform the ultrasound-assisted technique for craniotomy and clipping were the control group, and those who performed the ultrasound-assisted technique for the craniotomy and clipping were the observation group. The effect of craniotomy and clipping, operation time, hospital stay and postoperative complications were compared between the two groups. Follow-up 2 months, the Glasgow Outcome Score(GOS) of the two groups was evaluated at discharge, 1 month after discharge, and 2 months after discharge. Results The complete clipping rate of the observation group(100.00%) was higher than that of the control group(90.00%), and the difference was statistically significant(P<0.05); the operation time and hospital stay of the observation group were shorter than those of the control group, and the differences were statistically significant(P<0.05); the total incidence of complications in the observation group(4.00%) was lower than that of the control group(20.00%), the difference was statistically significant(P<0.05); the observation group was discharged from the hospital, 1 month after discharge, and 2 monthafter discharge,the GOS scores were higher than those of the control group, and the differences were statistically significant(P<0.05).Conclusion The application of ultrasound-assisted technology in craniotomy and clipping surgery for PIA can improve the clipping effect, shorten the operation time and hospital stay, reduce postoperative complications, and improve the prognosis.更多还原