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血管内介入栓塞术治疗脑动脉瘤的效果研讨

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目的 探讨血管内介入栓塞术治疗脑动脉瘤患者的临床效果。方法 50例脑动脉瘤患者,分组依据投掷硬币法,分为参照组(25 例,采用传统开颅术治疗)和研究组(25 例,采用血管内介入栓塞术治疗)。比较两组治疗效果、术后并发症发生率、手术指标、生活质量评分。结果 与参照组治疗总有效率(68。00%)比较,研究组(96。00%)显著提升(P<0。05)。与参照组术后并发症发生率(32。00%)比较,研究组(4。00%)显著降低(P<0。05)。研究组手术时间(2。19±0。69)h、住院时间(11。36±1。99)d短于参照组的(2。99±0。75)h、(18。13±2。09)d,术中出血量(38。95±13。25)ml少于参照组的(250。12±69。29)ml(P<0。05)。治疗前,两组患者的生活质量中社会功能、活力、生理功能、健康状况及总体评分对比,无显著差异(P>0。05);但治疗后,研究组患者的生活质量中社会功能、活力、生理功能、健康状况及总体评分分别为(85。32±3。15)、(89。66±2。25)、(88。63±2。25)、(88。29±4。25)、(86。33±4。25)分,明显优于对照组的(70。44±2。15)、(75。46±2。25)、(75。65±3。15)、(75。66±3。25)、(72。39±2。25)分(P<0。05)。结论 临床脑动脉瘤患者采用血管内介入栓塞术治疗,可提高患者的疗效、安全性以及生活质量,并改善系列临床手术指标。
The effect of endovascular interventional embolization in the treatment of cerebral aneurysm
Objective To explore the clinical effect of endovascular interventional embolization in the treatment of cerebral aneurysm.Methods 50 patients with cerebral aneurysm were grouped in to a reference group(25 cases,traditional craniotomy)and a study group(25 cases,endovascular interventional embolization)according to the coin tossing method.The therapeutic effect,incidence of postoperative complications,surgical indicators and quality of life score of the two groups were compared.Results Compared with the reference group(68.00% ),the total effective rate of the study group(96.00% )was significantly higher(P<0.05).Compared with the reference group(32.00% ),the incidence of postoperative complications in the study group(4.00% )was significantly decreased(P<0.05).The study group had operation time of(2.19±0.69)h and hospitalization time of(11.36±1.99)d,which were shorter than(2.99±0.75)h and(18.13±2.09)d in the reference group;the intraoperative blood loss of(38.95±13.25)ml in the study group was less than(250.12±69.29)ml in the reference group(P<0.05).Before treatment,there were no significant differences in scores of social function,vitality,physiological function,health status and overall score between the two groups(P>0.05).However,after treatment,the scores of social function,vitality,physiological function,health status and overall score of patients in the study group were(85.32±3.15),(89.66±2.25),(88.63±2.25),(88.29±4.25)and(86.33±4.25)points,which were significantly better than(70.44±2.15),(75.46±2.25),(75.65±3.15),(75.66±3.25)and(72.39±2.25)points in the reference group(P<0.05).Conclusion The application of endovascular interventional embolization in the treatment of cerebral aneurysm patients can improve the efficacy,safety and quality of life,and improve a series of clinical surgical indicators.

Cerebral aneurysmEndovascular interventional embolizationCurative effectComplicationsSurgical indicatorsQuality of life

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265500 烟台市福山区人民医院神经外科

脑动脉瘤 血管内介入栓塞术 疗效 并发症 手术指标 生活质量

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(16)