关于颅内动脉瘤栓塞术的疗效观察.docxVIP

关于颅内动脉瘤栓塞术的疗效观察 赵磊蒋世杰通信作者 遂宁市中心医院神经中心四川遂宁629000 【摘 要】目的：观察采用血管内栓塞术治疗颅内动脉瘤的临床效果。方法： 选取2014年1月?2014年口月我院收治的70例颅内动脉瘤患者为研究对象, 将其随机分为观察组(35例)与对照组(35例)。观察组给予血管内栓塞术治疗， 对照组给予常规开颅颅内动脉瘤夹闭术治疗，比较两组患者的临床治疗效果及并 发症发生情况。结果：观察组格拉斯哥预后评分(GOS评分)良好率为85.7%, 对照组GOS评分良好率为60.0%,观察组GOS评分良好率显著高于对照组 (Plt;0.05),有统计学意义；且观察组并发症发牛率为11.4%,对照组并发症发 牛率为37.1%,观察组并发症发牛率显著低于对照组(Plt;0.05),有统计学意义。 结论:血管内栓塞术治疗颅内动脉瘤的临床效果显著，且安全性高，住院时间短， 值得在临床上推广。 【关键词】血管内栓塞术；颅内动脉瘤；效果 【中图分类号】R739.4【文献标识码】B 【文章编号]1674-8999 (2015) 8?0377-02 [Abstract] Objective: to observe the clinical effect of endovascular embolization of intracranial aneurysms. Selection methods: from January 2014 to November 2014, our hospital 70 cases of intracranial aneurysm patients as the research object, its were randomly divided into observation group (35 cases) and control group (35 cases). Observation group was given endovascular embolization, the control group given routine craniotomy intracranial aneurysm clipping treatment, compared two groups of patients with the clinical therapeutic effect and complications. Results: the observation group, Glasgow outcome score (GOS score) good rate was 85.7%, the control group GOS score good rate was 60.0%, the observation group GOS score good rate is significantly higher than the control group (P lt; 0.05), there is statistical significance; And the complication rate of observation group was 11.4%, the control group in the incidenee of complications was 37.1%, the complication rate of observation group was significantly lower than control group (P lt; 0.05), with statistical significanee. Conclusion: the clinical effect of endovascular embolization of intracranial aneurysms, and high safety, shorter hospitalization time, and is worth popularizing in clinic. 【Key words］ Endovascular embolization; Intracranial aneurysm; The effect 颅内动脉瘤主要是人体颅内动脉管壁由于局限性扩张引起的一种脑血管瘤 样突起，极易诱发蛛网膜下腔出血［］。颅内动脉瘤发生率占总脑血管疾病发生率 的3.6-6.0%,死亡率高，未及吋得到有效治疗的患者2年死亡率高达75%-85%, 口大部分存活者伴有严重的肢体瘫痪等后遗症，预后差，对患者的生活质量影响 极大⑵。因此及吋给予有效治疗，是提高治疗效果、改善预后的重要内容。我