Comparison of the Effect of Interventional Embolization and Microsurgical Clipping in the Treatment of Rupture of Intracranial Aneurysms and Its Influence on the Prognosis of Patients
Objective To investigate the effect of interventional embolization and microsurgical clipping in rupture of intracranial aneurysm(IA).Methods 82 patients with IA rupture admitted to our hospital from May 2021 to May 2023 were selected as research objects,and were divided into a control group and an observation group according to random number table method,with 41 cases in each group.The control group was treated with microsurgical clipping,and the observation group was treated with interventional embolization.The operation status,prognosis,modified Rankin Scale(mRS)score,Barthel Index(BI)score,quality of life and complications were compared between the two groups.Results The duration of operation and hospitalization in the observation group were(132.41±15.36)min and(12.14±1.24)d,respectively,which were shorter than(150.14±17.57)min and(16.82±1.35)d in the control group,the intraoperative blood loss was(32.05±3.52)mL,it was less than(102.41±10.35)mL in control group,and the differences between groups were statistically significant(P＜0.05).There was no significant difference in the excellent and good rate between the two groups(P＞0.05).The mRS Score of the observation group was(1.65±0.21)points,lower than(2.07±0.25)points of the control group,and the BI score was(87.54±5.38)points,higher than(80.34±5.22)points of the control group,the differences between groups were statistically significant(P＜0.05).The scores of World Health Organization Quality of Life-BREF in the observation group were higher than those in the control group,and the differences between groups were statistically significant(P＜0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion Interventional embolization is more effective in the treatment of IA rupture,which can reduce the body trauma,improve the patients'daily living ability,improve the postoperative quality of life,and is safe and reliable.
Rupture of intracranial aneurysmInterventional embolizationMicrosurgical clippingComplication
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