Analysis of clinical efficacy of microsurgical clipping and endovascular embolization in the treatment of aneurysmal subarachnoid hemorrhage
Aim To investigate the clinical efficacy of microsurgical clipping and endovascular embolization in the treatment of aneurysmal subarachnoid hemorrhage(ASAH).Methods The clinical data of 138 AS AH patients were retrospectively ana-lyzed.Patients were divided into the embolization group(n=71)and the clipping group(n=67)according to different treatment methods.General and surgical information of patients,as well as complications since hospitalization,were collected,and their clini-cal neurological function at discharge and three months after discharge were evaluated.Results The surgical time,intraoperative bleeding,and hospital stay in the embolization group were shorter than those in the clamp group(P＜0.05).The incidence of poor prognosis in the embolization group was lower than that in the clamp group at discharge(P＜0.05).After 3 months of discharge,there was no significant difference in the incidence of poor prognosis between the two groups(P＞0.05).The total incidence of pul-monary infection,intracranial infection,and complications in the clamp group was higher than that in the embolization group(P＜0.05).Conclusion Microsurgical clipping and interventional embolization have good short-term efficacy in treating ASAH,but interventional embolization has shorter surgical time and hospital stay,less bleeding and fewer complications.
万方数据
维普
