开颅夹闭与血管栓塞治疗脑动脉瘤临床效果与安全性比较.docVIP

开颅夹闭和血管栓塞治疗脑动脉瘤的临床效果与安全性比较 　　[摘要]目的 通过对患有脑动脉瘤患者分别采用开颅夹闭以及血管栓塞两种临床治疗方式进行治疗后的临床效果以及安全性进行分析比较。方法 2011年1月―2015年1月随机选取该院收治的脑动脉瘤患者共80例，随机分为实验组（40例）以及对照组（40例）两组，给予实验组的患者采取血管栓塞的方法进行治疗，而给予对照组的患者则采取开颅夹闭的方法进行治疗，比较两组的出院时间以及并发症发生率等。 结果 实验组患者住院时间明显短于对照组患者住院时间，实验组术后并发症发生的概率明显低于对照组并发症发生的概率（12.5%vs45%，实验组临床效果良好率明显高于对照组（85%vs55%）。 结论 通过临床治疗结果得知血管栓塞比开颅夹闭方法治疗脑动脉瘤效果更好，患者不良反应较少，值得在临床上进行进一步的推广使用 [关键词] 血管栓塞；脑动脉瘤；开颅夹闭；安全性；临床效果 [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0050-02 [Abstract] Objective To comparatively analyze the clinical curative effect and security of craniotomy clipping and blood vessel embolism in the treatment of patients with cerebral aneurysm. Methods 80 cases of cerebral aneurysm patients treated in our hospital from January 2011 to January 2015 were randomly divided into the experimental group and the control group with 40 cases in each， the experimental group were treated with blood vessel embolism method and the control group were treated with caniotomy clipping method， discharge time and the incidence of complications of the two groups were compared. Results Hospitalization time of the experimental group was obviously shorter than that of the control group， the probability of postoperative complications in the experimental group was obviously lower than that in the control group（12.5% vs 45%）， the good rate of clinical effect in the experimental group was obviously higher than that in the control group（85% vs 55%）. Conclusion Clinical treatment results show that the effect of craniotomy clipping method in the treatment of cerebral aneurysm is better than blood vessel embolism method， patients have fewer adverse reactions and it is worthy of further promotion in clinic. [Key words] Blood vessel embolism； Cerebral aneurysm； Craniotomy clipping； Security； Clinical curative effect 由于脑动脉瘤通常容易造成蛛网膜下腔出血的现象发生，进而引起一系列的临床症状。并且脑动脉瘤通常发病于各个年龄段，并且极容易造成患者死亡[1]。所以，在临床治疗此疾病时找到有效的治疗方法尤为重要。目前，在临床治疗脑动脉瘤患者时通常采用开颅夹闭以及血管栓塞两种治疗方法。但是，随着人们对治疗方法的要求不断提高，所以血管栓塞已经成为主要治疗脑动脉瘤的方