首页|显微镜辅助神经内镜治疗颅内破裂动脉瘤的效果及对患者认知功能的影响

显微镜辅助神经内镜治疗颅内破裂动脉瘤的效果及对患者认知功能的影响

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目的 探讨显微镜辅助神经内镜治疗颅内破裂动脉瘤患者的临床效果.方法 100例颅内破裂动脉瘤患者随机分为两组,对照组采用显微镜下夹闭治疗,观察组采用显微镜辅助神经内镜治疗.比较两组的疗效、预后及认知功能.结果 观察组的夹闭不全率低于对照组(P<0.05).观察组术后5 d、10 d、30 d、60 d的mRS评分均低于对照组,术后30 d、60 d的MoCA评分均高于对照组(P<0.05).结论 显微镜辅助神经内镜治疗颅内破裂动脉瘤可提高夹闭成功率,改善患者的预后及认知功能.
Effect of Microscope-Assisted Neuroendoscopy in the Treatment of Ruptured Intracranial Aneurysms and Its Impact on Cognitive Function of Patients
Objective To explore the clinical effect of microscope-assisted neuroendoscopy in the treatment of patients with ruptured intracranial aneurysms.Methods 100 patients with ruptured intracranial aneurysms were randomly divided into two groups.The control group was treated with microscopic clipping,and the observation group was treated with microscope-assisted neuroendoscopy.The efficacy,prognosis and cognitive function were compared between the two groups.Results The rate of incomplete occlusion of the observation group was lower than that of the control group(P<0.05).The mRS scores at 5 d,10 d,30 d and 60 d after surgery of the observation group were lower than those of the control group,and the MoCA scores at 30 d and 60 d after surgery were higher than those of the control group(P<0.05).Conclusions Microscope-assisted neuroendoscopy in the treatment of ruptured intracranial aneurysms can improve the success rate of clipping and improve the prognosis and cognitive function of patients.

MicroscopeNeuroendoscopyRuptured intracranial aneurysmsCognitive function

赵海洋、吴环立、秦书彦

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南阳市第二人民医院神经外科一病区,河南南阳 473000

南阳市第二人民医院心内四科,河南南阳 473000

显微镜 神经内镜 颅内破裂动脉瘤 认知功能

河南省医学科技攻关计划联合共建项目

LHGJ20190601

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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