血管内微导管介入治疗颅脑动脉瘤的效果及对患者预后的影响
Effect of Endovascular Microcatheter Intervention in the Treatment of Craniocerebral Aneurysms and Its Impact on the Prognosis of Patients
申猛 1岳四海 2陈清亮1
作者信息
- 1. 河南省直第三人民医院介入科,河南郑州 450006
- 2. 河南省人民医院神经外科,河南郑州 450003
- 折叠
摘要
目的 探讨血管内微导管介入治疗颅脑动脉瘤患者的效果及预后.方法 90 例颅脑动脉瘤患者随机分为观察组(血管内微导管介入)和对照组(开颅夹闭术),比较两组的手术情况、血清指标、并发症和预后.结果 观察组的手术时间长于对照组,术中出血量少于对照组,住院时间短于对照组,术后NF-κB、VEGF、sICAM-1 水平以及并发症发生率均低于对照组(P＜0.05).两组的复发率比较,差异无统计学意义(P＞0.05).结论 血管内微导管介入治疗颅脑动脉瘤患者的短期预后尚可.
Abstract
Objective To explore the effect and prognosis of endovascular microcatheter intervention in the treatment of craniocerebral aneurysms.Methods A total of 90 patients with craniocerebral aneurysms were randomly divided into the observation group(endovascular microcatheter intervention)and the control group(craniotomy clipping).The operation situation,serum indicators,complications and prognosis were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the intraoperative blood loss amount was less than that of the control group,the hospitalization time was shorter than that of the control group,and the levels of postoperative NF-κB,VEGF and sICAM-1,and incidence of complications were lower than those of the control group(P<0.05).No statistical difference was found in the recurrence rate between the two groups(P>0.05).Conclusions Endovascular microcatheter intervention in the treatment of patients with craniocerebral aneurysms has acceptable short-term prognosis.
关键词
血管内微导管介入/颅脑动脉瘤/效果/预后Key words
Endovascular microcatheter intervention/Craniocerebral aneurysms/Effect/Prognosis引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(2021)(LHGJ20210255)
出版年
2024
国家科技期刊平台
NSTL
万方数据