血管栓塞介入术与眶上外侧入路显微术治疗前交通动脉瘤的回顾性比较.docxVIP

血管栓塞介入术与眶上外侧入路显微术 治疗前交通动脉瘤的回顾性比较 周海 万政强 滕宏伟 周静 仇劲松 江苏省滨海县人民医院神经外科 江苏省盐城市第一 人民医院神经外科 摘要： 目的：比较分析血管栓塞介入术与眶上外侧入路显微手术治疗前交通动脉瘤的效 果。方法:对木院及市一院2014年1月2()17年1月收治的40例前交通动脉瘤患 者病例资料进行冋顾性分析，根据不同治疗方法将其分为介入组(血管栓塞介 入)与显微组(眶上外侧入路显微镜夹闭)，比较两组手术相关指标、术后并发 症、术后6个月格拉斯哥预后(G0S)评分结果、认知功能障碍发生率及随访情 况。结果：介入组手术时间(60. 25±21.37) min,比显微组的(153. 68±20.61) min显著短，手术成功率83. 33%,比显微组的100. 00%显著低，差异有统计学意 义;两组住院时间、术后并发症发生率、术后半年预后良好率、认知功能障碍发 生率及末次随访瘤颈残留、再出血率比较差异均无统计学意义。结论:眶上外侧 入路显微手术夹闭相比血管栓塞成功率高，术后预后可能更好，但其手术时间 显著长，血管栓塞介入相比显微手术对患者认知功能影响小，建议根据患者情 况选择合适术式。 关键词： 前交通动脉瘤;血管栓寒介入;显微夹闭;眶上外侧入路; 作者简介：万政强，E-ina订:wzq_731122007@sina. com 收稿日期：2017-08-20 Retrospective study of endovascular interventional embolization and supraorbital lateral microsurgery for the treatment of anterior communicating artery aneurysms Zhou Hai Wang Zheng-qiang Teng Hong-wei Zhou Jing Chou Jing-song Department of Neurosurgery, Binhai Peoples Hospital of Jiangsu; Department of Neurosurgery, Yancheng First Peoples Hospital of Jiangsu; Abstract： Objective To compare the effects of endovascular interventional embolization and supraorbitdl lateral microsurgery in the treatment of anterior communicating artery aneurysms. Methods The clinical data of 40 patients with anterior communicating artery aneurysms treated in our hospital from January 2014 to January 2017 were retrospectively analyzed. According to the different treatment methods, the patients were divided into intervention group (treated with endovascular interventional embolization) and microsurgery group (treated with supraorbital lateral microscopic clipping) ? The surgery related indexes, postoperative complications, the Glasgow outcome score (GOS) , the incidenee of cognitive impairmcnt and follow-up were compared between the two groups. Results The surgical time of intervention group was significantly shorter than that of microsurgery group [ (60. 25±21. 37) min vs (153. 68±20. 61) min], and the surgical success rate of surgery was significantly lower than that in microsurgery grou